Organization
BE THE CHANGE COMMUNITY SERVICES
Active
Organization
BE THE CHANGE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARQUISE HARDISON (CO-CEO)
(757) 372-1086
Entity
Organization
Contact information
Practice address
468 INVESTORS PL STE 204E, VIRGINIA BEACH, VA 23452-1109
(757) 372-1086
Mailing address
149 W WASHINGTON ST APT 107, SUFFOLK, VA 23434-5270
(757) 372-1086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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