Organization
BE THE CHANGE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANNE TAYLOR LCSW (OWNER)
(804) 621-2650
Entity
Organization
Contact information
Practice address
800 BLANTON AVE, RICHMOND, VA 23221-3603
(804) 621-2650
(804) 369-9709
Mailing address
1605 WHITE CEDAR LN, N CHESTERFLD, VA 23235-5449
(804) 621-2650
(804) 369-9709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004430
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800002554
—
VA
Enumeration date
06/14/2018
Last updated
12/13/2023
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