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Changing Lives Therapeutic Service, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Danville, Virginia
NPI 1891317657

Changing Lives Therapeutic Service, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Charlotte, VA and is specialized in Rehabilitation, Substance Use Disorder. Changing Lives Therapeutic Service, Llc practices in Danville, VA. The NPI Number for Changing Lives Therapeutic Service, Llc is 1891317657 and holds a License No. (Virginia).

The current practice location address for Changing Lives Therapeutic Service, Llc is 413 Mount Cross Rd Ste 102, Danville, VA and can be reached out via phone at 888-388-8726.

Location: 413 Mount Cross Rd Ste 102, Danville, VA, 28213-4395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891317657
Provider Name
Changing Lives Therapeutic Service, Llc
Credential
Provider Entity Type
Organization
Address
413 Mount Cross Rd Ste 102, Danville, VA, 28213-4395
Phone Number
888-388-8726
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295117760 05 NC
1922582998 05 NC
institution
Provider Business Practice Location Address Details
Address
413 Mount Cross Rd Ste 102
City
Danville
State
Virginia
Zip
24540-4089
Phone Number
888-388-8726
Fax Number
person
Provider Business Mailing Address Details
Address
413 Mount Cross Rd Ste 102
City
Danville
State
Virginia
Zip
24540-4089
Phone Number
888-388-8726
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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