1720540107 INDELIBLE CHANGES LLC

Mental Health Counselor

Active

Basic Information

Organization Name
INDELIBLE CHANGES LLC
Enumeration Date
April 3, 2019
Last Update
December 14, 2022
Authorized Official
MR. NICHOLAS ANTONIO WILLIAMS LPC
CEO
Phone: (703) 474-0585

Practice Location

Address
12890 HARBOR DR
WOODBRIDGE, VA 221922921
Phone
(570) 316-1020

Mailing Address

Address
4191 WATERWAY DR
DUMFRIES, VA 220251602
Phone
(703) 474-0585

Specialties & Taxonomies

Specialty Code Classification License State Primary
Counselor
101Y00000X Counselor N/A N/A No
Psychologist
103T00000X Psychologist N/A N/A No
Social Worker
104100000X Social Worker N/A N/A No
Clinical Social Worker
Clinical
1041C0700X Social Worker N/A N/A No
Marriage & Family Therapist
106H00000X Marriage & Family Therapist N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A N/A No
Mental Health Counselor
Mental Health
101YM0800X Counselor N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
575326118 05 VA N/A

Digital Endpoints

DIRECT

nicholas.williams@indeliblechanges.org

Frequently Asked Questions

What is INDELIBLE CHANGES LLC's NPI number?
INDELIBLE CHANGES LLC's NPI number is 1720540107.
Which doctor has NPI number 1720540107?
The doctor with NPI number 1720540107 is INDELIBLE CHANGES LLC.
What is INDELIBLE CHANGES LLC's practice address?
INDELIBLE CHANGES LLC's practice address is 12890 HARBOR DR, WOODBRIDGE, VA, 221922921.
Which doctor practices at 12890 HARBOR DR, WOODBRIDGE, VA, 221922921?
INDELIBLE CHANGES LLC practices at 12890 HARBOR DR, WOODBRIDGE, VA, 221922921.
What is INDELIBLE CHANGES LLC's mailing address?
INDELIBLE CHANGES LLC's mailing address is 4191 WATERWAY DR, DUMFRIES, VA, 220251602.
What is INDELIBLE CHANGES LLC's phone number?
INDELIBLE CHANGES LLC's phone number is (570) 316-1020.
Who is (570) 316-1020?
(570) 316-1020 is the phone number for INDELIBLE CHANGES LLC.
What is INDELIBLE CHANGES LLC's specialty?
INDELIBLE CHANGES LLC's specialty is Mental Health Counselor.
What type of doctor is INDELIBLE CHANGES LLC?
INDELIBLE CHANGES LLC is a Mental Health Counselor.
Is INDELIBLE CHANGES LLC a Mental Health?
Yes, INDELIBLE CHANGES LLC is a Mental Health.
Is INDELIBLE CHANGES LLC still practicing?
Yes, INDELIBLE CHANGES LLC is currently practicing.
Is INDELIBLE CHANGES LLC accepting new patients?
INDELIBLE CHANGES LLC may be accepting new patients. Please call their office at (570) 316-1020 to inquire about availability.
Is NPI 1720540107 still active?
Yes, NPI 1720540107 is currently active.
Where does INDELIBLE CHANGES LLC practice?
INDELIBLE CHANGES LLC practices in WOODBRIDGE, VA.