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Organization

CENTERED ON CHANGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE ANN LAPORTE LCSW (OWNER)
(540) 662-7900
Entity
Organization

Contact information

Practice address
31 S BRADDOCK ST, SUITE 206, WINCHESTER, VA 22601-4144
(540) 662-7900
(540) 662-7900
Mailing address
31 S BRADDOCK ST, SUITE 206, WINCHESTER, VA 22601-4144
(540) 662-7900
(540) 662-7900

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904008081
VA

Other

Enumeration date
12/03/2013
Last updated
12/03/2013
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