| Changing Insight Ii, Llc | |
|
7973 Highway 90 Longs SC 29568-6201 | |
| (336) 280-9432 | |
| Not Available |
| Full Name | Changing Insight Ii, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7973 Highway 90, Longs, South Carolina |
| Authorized Official Name and Position | Shatanya Lashawn Walker (EX DIRECTOR) |
| Authorized Official Contact | 3362809432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Insight Ii, Llc 219 Marshall Graves Rd Yanceyville NC 27379-8797 Ph: (336) 280-9432 | Changing Insight Ii, Llc 7973 Highway 90 Longs SC 29568-6201 Ph: (336) 280-9432 |
| NPI Number | 1992480982 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992480982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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