Provider Demographics
NPI:1083259287
Name:SAVING & CHANGING LIVES LLC
Entity Type:Organization
Organization Name:SAVING & CHANGING LIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:DR
Authorized Official - First Name:JEMINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LIVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:804-295-8510
Mailing Address - Street 1:11030 WARWICK BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3251
Mailing Address - Country:US
Mailing Address - Phone:804-295-8510
Mailing Address - Fax:949-404-8894
Practice Address - Street 1:11030 WARWICK BLVD STE A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3251
Practice Address - Country:US
Practice Address - Phone:804-295-8510
Practice Address - Fax:949-404-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty