# C.H.A.N.G.E. THREAPUETIC SERVICES

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

## Provider details

- **NPI number:** 1932334653
- **Authorized official:** MS. TERRY DENISE CALDWELL LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (757) 620-2240

## Contact information

- **Practice address:** 601 DINWIDDIE ST, PORTSMOUTH, VA 23704-3613
- **Practice address phone:** (757) 201-4601
- **Mailing address:** 601 DINWIDDIE ST, PORTSMOUTH, VA 23704-3613
- **Mailing address phone:** (757) 201-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 05/26/2009