Change Up Behavioral Services, LLC.
Community/Behavioral Health in Roanoke, VA. Organization (NPI-2).
NPI number1306646559
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1306646559
- Entity type
- Organization (NPI-2)
- Legal business name
- Change Up Behavioral Services, LLC.
- Organization subpart
- No
- Enumeration date
- Mar 17, 2025
- Certification date
- Mar 17, 2025
- Last updated
- Mar 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2408 Electric Rd Ste CRoanoke, VA 24018-3523
Phone 336-986-4276 · Fax 540-301-5821
Mailing address
626 Woods Ave SwRoanoke, VA 24016-4828
Phone 541-598-9512 · Fax 540-301-5821
Authorized official
Casey Maurer
Ceo
5405989512
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