Organization Name: | COUNSELING FOR GROWTH AND CHANGE, LC |
NPI Number: | 1851336739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI R BELL (PARTNER) |
Mailing Address: | 6900 University Ave Windsor Heights |
State: | IA US |
Postal Code: | 503111505 |
Phone Number: | 5152431020 |
Fax Number: | 5158831946 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |