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

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1841965696

Extraordinary Changes LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chesapeake, Virginia. Registered with an NPI since 2021.

In the registry since
2021
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 B St
Chesapeake, VA 23324-2515
Phone: (757) 735-5413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1841965696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devon Cook — Ceo · (804) 855-9137
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 13, 2021
Certification dateAugust 3, 2021
Mailing address413 B St, Chesapeake, VA 23324-2515

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