| Organization Name: | CHANGE IS POSSIBLE COUNSELING SERVICES, LLC |
| NPI Number: | 1962435438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA L ZITNY (CLINICAL DIRECTOR/OWNER) |
| Mailing Address: | 2122 15 Mile Rd Suite B Sterling Hts |
| State: | MI US |
| Postal Code: | 483104853 |
| Phone Number: | 5862643692 |
| Fax Number: | 5869395953 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |