| Intrepid Change, Llc | |
|
510 S Independence Blvd Ste 200 Virginia Beach VA 23452-1155 | |
| (757) 354-2337 | |
| Not Available |
| Full Name | Intrepid Change, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 510 S Independence Blvd Ste 200, Virginia Beach, Virginia |
| Authorized Official Name and Position | Anthony Vecchio (OWNER/FOUNDER) |
| Authorized Official Contact | 7573542337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrepid Change, Llc 510 S Independence Blvd Ste 200 Virginia Beach VA 23452-1155 Ph: (757) 354-2337 | Intrepid Change, Llc 510 S Independence Blvd Ste 200 Virginia Beach VA 23452-1155 Ph: (757) 354-2337 |
| NPI Number | 1306657705 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306657705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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