| Change The Way Llc | |
|
1414 Pennsylvania Ave Bethlehem PA 18018-2017 | |
| (267) 354-0767 | |
| (610) 866-0269 |
| Full Name | Change The Way Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1414 Pennsylvania Ave, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Nikida Capasso (OWNER/ CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2673540767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change The Way Llc 1170 Arcadia St Bethlehem PA 18018-3015 Ph: (484) 788-8439 | Change The Way Llc 1414 Pennsylvania Ave Bethlehem PA 18018-2017 Ph: (267) 354-0767 |
| NPI Number | 1730816281 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730816281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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