| Change Inc | |
|
3225 S Wadsworth Blvd Unit T Lakewood CO 80227-5009 | |
| (303) 209-1064 | |
| Not Available |
| Full Name | Change Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3225 S Wadsworth Blvd Unit T, Lakewood, Colorado |
| Authorized Official Name and Position | Diane M Keeling (DIRECTOR) |
| Authorized Official Contact | 3032310090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Inc 3225 S Wadsworth Blvd Unit T Lakewood CO 80227-5009 Ph: () - | Change Inc 3225 S Wadsworth Blvd Unit T Lakewood CO 80227-5009 Ph: (303) 209-1064 |
| NPI Number | 1427720168 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427720168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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