Organization
CHANGING MINDS PEDIATRIC & ADOLESCENT PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SCHRECENGOST DNP (NURSE PRACTITIONER)
(804) 814-0107
Entity
Organization
Contact information
Practice address
6386 LITTLE SORREL DR, MECHANICSVILLE, VA 23111-4480
(804) 814-0107
Mailing address
11357 NUCKOLS RD # 1333, GLEN ALLEN, VA 23059-5504
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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