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FLYING CHANGE NPI 1154625424


NPI Information

NPI: 1154625424
Provider Name: FLYING CHANGE
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4680 POLO LN SE
ATLANTA, GA
ZIP 30339
Phone: (404) 512-0834
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FLYING CHANGE is a counselor in Atlanta, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FLYING CHANGE NPI is 1154625424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4680 POLO LN SE
ATLANTA, GA
ZIP 30339-346
Phone: (404) 512-0834
Fax: (770) 832-3969

The provider's authorized official is Lissa B Corcoran .
The authorized official title is Executive Director and has the following contact phone number (404) 512-0834.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 12/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2104100000XSocial WorkerNo
3106H00000XMarriage & Family TherapistNo
4101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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