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

Indelible Changes LLC

Organization Counselor · NPI 1720540107

Indelible Changes LLC is a Counselor in Woodbridge, Virginia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
9
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

12890 Harbor Dr
Woodbridge, VA 22192-2921
Phone: (570) 316-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1720540107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Williams — Ceo · (703) 474-0585
NPI enumeratedApril 3, 2019
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address4191 Waterway Dr, Dumfries, VA 22025-1602

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