CONSCIOUS CHANGE LLC is a psychiatric/mental health nurse practitioner in Oxford, MS. CONSCIOUS CHANGE LLC NPI is 1275118036. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
507 HERITAGE DR STE 101
OXFORD, MS
ZIP 38655-571
Phone: (662) 638-3388
Fax: (844) 728-9613
The provider's authorized official is Krisna Hervey .
The authorized official title is Owner and has the following contact phone number (662) 638-3388.
The CLIA number assigned to this NPI record is 25D2275016 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/12/2021 and was last updated on 4/20/2021.