| Positive Changes Llc | |
|
325 Brown St Ste 134 Petersburg VA 23803-4234 | |
| (240) 536-1010 | |
| Not Available |
| Full Name | Positive Changes Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 325 Brown St Ste 134, Petersburg, Virginia |
| Authorized Official Name and Position | Anitra Carter (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7573834183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Changes Llc Po Box 74174 North Chesterfield VA 23236-0003 Ph: (240) 536-1010 | Positive Changes Llc 325 Brown St Ste 134 Petersburg VA 23803-4234 Ph: (240) 536-1010 |
| NPI Number | 1679362404 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679362404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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