| Change Agents, Inc. | |
|
300 Village Green Cir Se Suite 201 Smyrna GA 30080-3476 | |
| (404) 447-2845 | |
| Not Available |
| Full Name | Change Agents, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Village Green Cir Se, Smyrna, Georgia |
| Authorized Official Name and Position | Joan Tolbert Merriweather (CEO) |
| Authorized Official Contact | 4044472845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Agents, Inc. 3599 Creekwood Ln Sw Smyrna GA 30082-2901 Ph: (404) 447-2845 | Change Agents, Inc. 300 Village Green Cir Se Suite 201 Smyrna GA 30080-3476 Ph: (404) 447-2845 |
| NPI Number | 1356596027 |
|---|---|
| Provider Enumeration Date | 11/22/2008 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356596027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004040 (Georgia) | Primary |
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