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CATALYST FOR CHANGE PSYCHIATRIC & COUNSELING SERVICES NPI 1194335216


NPI Information

NPI: 1194335216
Provider Name: CATALYST FOR CHANGE PSYCHIATRIC & COUNSELING SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1814 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34952
Phone: (772) 208-7834
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CATALYST FOR CHANGE PSYCHIATRIC & COUNSELING SERVICES is a mental health counselor in Port Saint Lucie, FL. CATALYST FOR CHANGE PSYCHIATRIC & COUNSELING SERVICES NPI is 1194335216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1814 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34952-545
Phone: (772) 208-7834
Fax: (949) 577-4617

The provider's authorized official is Chasity Shanell Chandler .
The authorized official title is Owner and has the following contact phone number (772) 208-7834.

The enumeration date for this NPI number is 8/4/2020 and was last updated on 8/4/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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: 5/5/2024

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