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Organization

CHANGING LANES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIQUITTA ATKINS LEE (CEO/OWNER)
(434) 829-6649
Entity
Organization

Contact information

Practice address
534 N MAIN ST, EMPORIA, VA 23847-1236
(434) 632-0220
Mailing address
1506 W END DR, EMPORIA, VA 23847-2780
(434) 829-6649

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/10/2022
Last updated
01/25/2023
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