Organization
CHANGE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIMENE KISWEY DIOMI CRNP-PMH (OWNER)
(240) 401-3062
Entity
Organization
Contact information
Practice address
18310 MONTGOMERY VILLAGE AVE STE 300, GAITHERSBURG, MD 20879-3552
(240) 830-1358
(301) 732-7725
Mailing address
8025 LIGHTHOUSE LNDG, FREDERICK, MD 21701-9306
(240) 830-1358
(301) 732-7725
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/18/2020
Last updated
03/18/2025
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