Organization Name: | CHANGING MATTERS |
NPI Number: | 1356771232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL DAVIS (OWNER / CLINICAL DIRECTOR) |
Mailing Address: | 411 E Mulberry St Amite |
State: | LA US |
Postal Code: | 704222527 |
Phone Number: | 2252522212 |
Fax Number: | 9857488515 |
NPI Enumeration Date: | 11/14/2013 |
NPI Last Update Date: | 11/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |