# CHANGING LIVES MATTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639761810
- **Authorized official:** JANET TORRES-ROBINSON LCAS-A (CEO)
- **Authorized official phone:** (704) 208-0114

## Contact information

- **Practice address:** 2591 E MAIN ST UNIT EH, LINCOLNTON, NC 28092-4138
- **Practice address phone:** (704) 208-0114
- **Mailing address:** 11209 JOHNSTON RD, CHARLOTTE, NC 28226-3964
- **Mailing address phone:** (704) 208-0114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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