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Organization
CHANGE22, LLC
Active
Organization
CHANGE22, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN STRODE LPC (MEMBER)
(757) 347-0450
Entity
Organization
Contact information
Practice address
733 THIMBLE SHOALS BLVD, SUITE 170, OFFICE 102, NEWPORT NEWS, VA 23606-4260
(757) 347-0450
(757) 347-0460
Mailing address
733 THIMBLE SHOALS BLVD, SUITE 170, OFFICE 102, NEWPORT NEWS, VA 23606-4260
(757) 347-0450
(757) 347-0460
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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