| Choice To Change | |
|
17772 Bridle Ln Jupiter FL 33478-4718 | |
| (561) 745-1779 | |
| (561) 745-1780 |
| Full Name | Choice To Change |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17772 Bridle Ln, Jupiter, Florida |
| Authorized Official Name and Position | Lynn Trimble (PRESIDENT) |
| Authorized Official Contact | 5617451779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice To Change 17772 Bridle Ln Jupiter FL 33478-4718 Ph: (561) 745-1779 | Choice To Change 17772 Bridle Ln Jupiter FL 33478-4718 Ph: (561) 745-1779 |
| NPI Number | 1124449988 |
|---|---|
| Provider Enumeration Date | 12/21/2013 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124449988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH12298 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW10878 (Florida) | Primary |
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