| A Change Within Pllc | |
|
250 North Trade Street Ste 203 Matthews NC 28105-5040 | |
| (704) 841-9454 | |
| (866) 834-1817 |
| Full Name | A Change Within Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 250 North Trade Street, Matthews, North Carolina |
| Authorized Official Name and Position | Sarah Lynn Demaison (OWNER) |
| Authorized Official Contact | 7048419454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Change Within Pllc 250 North Trade Street Ste 203 Matthews NC 28105-5040 Ph: (704) 841-9454 | A Change Within Pllc 250 North Trade Street Ste 203 Matthews NC 28105-5040 Ph: (704) 841-9454 |
| NPI Number | 1659726214 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659726214 | NPI | - | NPPES |
| 1265854095 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C008246 (North Carolina) | Primary |
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