Changing Cycles, LLC
Counselor, Professional in Upper Marlboro, MD. Organization (NPI-2).
NPI number1265713705
StatusActive
Last updated in NPPESMar 15, 2012
Details
- NPI
- 1265713705
- Entity type
- Organization (NPI-2)
- Legal business name
- Changing Cycles, LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2011
- Last updated
- Mar 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC2555 | MD | Yes |
| 101YP2500X | Counselor, Professional | PRC13986 | DC |
Practice location
14460 Old Mill RdSuite 201
Upper Marlboro, MD 20772-3092
Phone 301-357-6605
Mailing address
3475 Leonardtown RdSuite 206
Waldorf, MD 20601-3678
Phone 301-357-6605
Authorized official
Keyona Shantrice Thomas-Kelly
Vice-President And Coo
3013576605
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