Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Changing Life Mental Health Behavioral LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1083504716

Changing Life Mental Health Behavioral LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Cheverly, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6490 Landover Rd Ste C9
Cheverly, MD 20785-1443
Phone: (240) 437-2705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1083504716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fatu Koroma — Owner · (240) 437-2705
NPI enumeratedJuly 4, 2025
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address106 Calumet Ct, Gambrills, MD 21054-1060

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