Change Therapy Center, Llc | |
954 Eastport Centre Dr Suite B Valparaiso IN 46383-4457 | |
(847) 338-6844 | |
Not Available |
Full Name | Change Therapy Center, Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 954 Eastport Centre Dr, Valparaiso, Indiana |
Authorized Official Name and Position | Melissa Scannell (OWNER) |
Authorized Official Contact | 8473386844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Change Therapy Center, Llc 954 Eastport Centre Dr Suite B Valparaiso IN 46383-4457 Ph: () - | Change Therapy Center, Llc 954 Eastport Centre Dr Suite B Valparaiso IN 46383-4457 Ph: (847) 338-6844 |
NPI Number | 1366808834 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 01/13/2016 |
Identifier | Type | State | Issuer |
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1366808834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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