| Change Up Behavioral Services, Llc. | |
|
2408 Electric Rd Ste C Roanoke VA 24018-3523 | |
| (336) 986-4276 | |
| (540) 301-5821 |
| Full Name | Change Up Behavioral Services, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2408 Electric Rd Ste C, Roanoke, Virginia |
| Authorized Official Name and Position | Casey Maurer (CEO) |
| Authorized Official Contact | 5405989512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Up Behavioral Services, Llc. 626 Woods Ave Sw Roanoke VA 24016-4828 Ph: (541) 598-9512 | Change Up Behavioral Services, Llc. 2408 Electric Rd Ste C Roanoke VA 24018-3523 Ph: (336) 986-4276 |
| NPI Number | 1306646559 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306646559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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