| Change Me Foundation Inc. | |
|
1300 Wynnton Rd Ste 102 Columbus GA 31906-5705 | |
| (706) 464-1300 | |
| Not Available |
| Full Name | Change Me Foundation Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1300 Wynnton Rd Ste 102, Columbus, Georgia |
| Authorized Official Name and Position | Bradley Ogletree (DIRECTOR-CEO) |
| Authorized Official Contact | 7064641300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Me Foundation Inc. 395 Dogwood Dr Columbus GA 31907-5434 Ph: (706) 464-1300 | Change Me Foundation Inc. 1300 Wynnton Rd Ste 102 Columbus GA 31906-5705 Ph: (706) 464-1300 |
| NPI Number | 1609609148 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609609148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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