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

Changing Lives Networks Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1720790447

Changing Lives Networks Inc is a Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1020 Brookstown Ave Ste 5&6
Winston Salem, NC 27101-2523
Phone: (336) 293-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1720790447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaquay Wade — Director · (336) 516-6187
NPI enumeratedDecember 14, 2022
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023
Mailing address823 Day Ave, Burlington, NC 27217-2505

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