Provider Demographics
NPI:1154840791
Name:CONSTANT CHANGE ENTERPRISES LLC
Entity type:Organization
Organization Name:CONSTANT CHANGE ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELONDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-359-2100
Mailing Address - Street 1:7633 HULL STREET RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6481
Mailing Address - Country:US
Mailing Address - Phone:804-359-2100
Mailing Address - Fax:757-299-2576
Practice Address - Street 1:7633 HULL STREET RD STE 100
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6481
Practice Address - Country:US
Practice Address - Phone:804-359-2100
Practice Address - Fax:757-299-2576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty