Provider Demographics
NPI:1568346682
Name:LV CHANGING & SAVING LIVES
Entity type:Organization
Organization Name:LV CHANGING & SAVING LIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCAS
Authorized Official - Prefix:
Authorized Official - First Name:WILLIA
Authorized Official - Middle Name:LA-VERN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:984-381-0460
Mailing Address - Street 1:3535 KERNSTOWN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1183
Mailing Address - Country:US
Mailing Address - Phone:984-381-0460
Mailing Address - Fax:
Practice Address - Street 1:3535 KERNSTOWN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1183
Practice Address - Country:US
Practice Address - Phone:984-381-0460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty