SOUTHERN CHANGE BEHAVIORAL HEALTH SERVICES (NPI# 1225594922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225594922 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CHANGE BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1924 Walmart Way Midlothian VA 23113-2692 |
| Practice Telephone | 8042399597 |
| Mailing Telephone | 8042399597 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | SHAINA JENKINS (OWNER) |
| Authorized Official Telephone | 8042399597 |
| Authorized Official Credential | QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14200 Palladium Dr Apt 204, Midlothian, VA 231146806 | 8042399597 |
| Street Address |
1924 WALMART WAY |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23113-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
| 1447891981 | Dianne Carter Mays | Technician | 10901 Live Oak Court, Midlothian, VA 23113 | 2019-10-07 |
| 1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
| 1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
| 1124415971 | Cara E. Corbelli | Chiropractor | 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 | 2015-04-20 |
| 1922438639 | Orthovirginia, Inc | Orthopaedic Surgery | 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 | 2013-11-15 |
| 1811334832 | Kara Keuthan Beatty | Psychiatry & Neurology | 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 | 2013-05-31 |
| 1770854697 | R. Adrian Sorenson Dds and William R. Monacell Dds | Dentist | 14420 Sommerville Ct., Midlothian, VA 23113 | 2012-01-24 |
| 1336418995 | Hush Fine Lingerie LLC | Prosthetic/Orthotic Supplier | 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 | 2011-12-27 |
| 1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
| Find all providers in zip 23113 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791054 | Morgan Street LLC | Community/Behavioral Health | 8230 Sunnys Halo Ct, Midlothian, VA 23112-6718 | 2020-08-18 |
| 1154956746 | Greater Community Clinical Services | Community/Behavioral Health | 13030 Queensgate Rd, Midlothian, VA 23114-4470 | 2020-03-04 |
| 1407417835 | Voyage Behavioral Health, LLC | Community/Behavioral Health | 5704 Grove Forest Rd, Midlothian, VA 23112-2369 | 2019-06-26 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1477097327 | A Walk Through Life Mhss, LLC | Community/Behavioral Health | 13327 Thornridge Ln, Midlothian, VA 23112-4839 | 2016-12-12 |
| 1902287238 | Intellectus Counseling Group, LLC | Community/Behavioral Health | 14403 Michaels Ridge Rd, Midlothian, VA 23113-6327 | 2015-06-11 |
| 1568724342 | Fig Tree Therapy | Community/Behavioral Health | 13301 Midlothian Tpke Ste D, Midlothian, VA 23113-4205 | 2012-06-08 |
| 1144753252 | The Intellectus Group, LLC | Community/Behavioral Health | 14403 Michaels Ridge Rd, Midlothian, VA 23113-6327 | 2017-04-05 |
| 1518417187 | The Rhitmus Group, Pllc | Community/Behavioral Health | 200 S 14th St Ste 140, Midlothian, TX 76065-3361 | 2016-10-07 |
| 1861844946 | Therapeutic Interactive Educational Services of Virginia Inc | Community/Behavioral Health | 13305 Old Barn Ct, Midlothian, VA 23112-4874 | 2016-07-12 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
Please comment or provide details below to improve the information on SOUTHERN CHANGE BEHAVIORAL HEALTH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.