Changing Life Mental Health Behavioral LLC

NPI #1083504716 in Cheverly, Maryland

Provider Information

NPI Number: 1083504716
Entity Type: Organization
Organization Name: Changing Life Mental Health Behavioral LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 4, 2025
Last Updated: Jul 4, 2025

Practice Location

Address: 6490 LANDOVER RD STE C9
City: Cheverly
State: Maryland
ZIP Code: 20785-1443
Phone: (240) 437-2705

Authorized Official

Name: FATU KOROMA, NP
Title: OWNER
Phone: (240) 437-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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