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Organization
CHANGING LIVES MATTER LLC
Active
Organization
CHANGING LIVES MATTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET TORRES-ROBINSON LCAS-A (CEO)
(704) 208-0114
Entity
Organization
Contact information
Practice address
2591 E MAIN ST UNIT EH, LINCOLNTON, NC 28092-4138
(704) 208-0114
Mailing address
11209 JOHNSTON RD, CHARLOTTE, NC 28226-3964
(704) 208-0114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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