| One Change Group Inc | |
|
710 W Superior St Ste C Sandpoint ID 83864-1684 | |
| (208) 304-5499 | |
| (855) 978-1004 |
| Full Name | One Change Group Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 710 W Superior St Ste C, Sandpoint, Idaho |
| Authorized Official Name and Position | Amy Topp (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2083045499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Change Group Inc Po Box 1121 Sagle ID 83860-1121 Ph: (208) 304-5499 | One Change Group Inc 710 W Superior St Ste C Sandpoint ID 83864-1684 Ph: (208) 304-5499 |
| NPI Number | 1477115384 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477115384 | NPI | - | NPPES |
| IDTPID013592 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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