INSTITUTE FOR BEHAVIORAL CHANGE INC. NPI 1225731235

NPI Information

  • NPI: 1225731235
  • Provider Name: INSTITUTE FOR BEHAVIORAL CHANGE, INC.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 2670 CRAIN HWY STE 205
    WALDORF, MD
    ZIP 20601
  • Phone: (301) 818-0092

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NPI Details

INSTITUTE FOR BEHAVIORAL CHANGE, INC. is an addiction (substance use disorder) counselor in Waldorf, MD. INSTITUTE FOR BEHAVIORAL CHANGE, INC. NPI is 1225731235. The provider is registered as an organization entity type.

The provider's business location address is:

2670 CRAIN HWY STE 205
WALDORF, MD
ZIP 20601-816
Phone: (301) 818-0092
Fax: (301) 818-0110

The provider's authorized official is Devone Clarice Williams .
The authorized official title is Coo and has the following contact phone number (301) 818-0092.

The enumeration date for this NPI number is 3/27/2023 and was last updated on 3/27/2023.

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
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 3/30/2025

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