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

Changing Lives Therapeutic Service, LLC

Organization Professional Counselor · NPI 1891317657

Changing Lives Therapeutic Service, LLC is a Professional Counselor in Danville, Virginia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
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

413 Mount Cross Rd Ste 102
Danville, VA 24540-4089
Phone: (888) 388-8726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8825 University East Dr Ste 200, Charlotte, NC 28213-4395 — (980) 883-1121

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Peer Specialist Taxonomy 175T00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1891317657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cemetrius Rolle — Co-Owner · (980) 833-1121
Other names Changing Lives Therapeutic Service,Llc; Changing Lives Therapeutic Service,Llc
NPI enumeratedMay 14, 2020
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address8825 University East Dr Ste 200, Charlotte, NC 28213-4395

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