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Changing Lives Therapeutic Service, LLC

Community/Behavioral Health Agency in Danville, VA · enumerated 2020 · authorized official Cemetrius Rolle, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891317657

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Registry record

Entity type Organization (Type 2)
Legal business name Changing Lives Therapeutic Service, LLC
Other name <Unavail>
Practice address 413 Mount Cross Rd Ste 102, Danville, VA, 24540
Phone (888) 388-8726
Enumeration date May 14, 2020
Last updated in NPPES Mar 24, 2025

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
175T00000X Peer Specialist Other Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Cemetrius Rolle
Title Co-Owner
Phone (980) 833-1121

Other identifiers

Identifier Type State Issuer
1295117760 Medicaid NC -
1922582998 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Changing Lives Therapeutic Service, LLC?
NPPES lists Cemetrius Rolle (Co-Owner) as the authorized official for this organization.
What is the NPI number for Changing Lives Therapeutic Service, LLC?
The NPI for Changing Lives Therapeutic Service, LLC is 1891317657, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-24.