| Change & Growth Therapy Center | |
|
8401 Lake Worth Rd Ste. 202 Lake Worth FL 33467-2400 | |
| (561) 635-2431 | |
| Not Available |
| Full Name | Change & Growth Therapy Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8401 Lake Worth Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Mayra Bagnoli (OWNER) |
| Authorized Official Contact | 5616352341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change & Growth Therapy Center 8401 Lake Worth Rd Ste. 202 Lake Worth FL 33467-2400 Ph: () - | Change & Growth Therapy Center 8401 Lake Worth Rd Ste. 202 Lake Worth FL 33467-2400 Ph: (561) 635-2431 |
| NPI Number | 1760914931 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760914931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW12223 (Florida) | Primary |
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