CHANGES WELLNESS & RECOVERY CENTER NPI 1518309855

NPI Information

NPI: 1518309855
Provider Name: CHANGES WELLNESS & RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
31 W 20TH ST
RIVIERA BEACH, FL
ZIP 33404
Phone: (561) 229-1659
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CHANGES WELLNESS & RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Riviera Beach, FL. CHANGES WELLNESS & RECOVERY CENTER NPI is 1518309855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 W 20TH ST
RIVIERA BEACH, FL
ZIP 33404-155
Phone: (561) 229-1659
Fax: (561) 331-2715

The provider's authorized official is Monique D Wellons .
The authorized official title is Executive Director and has the following contact phone number (561) 229-1659.

The enumeration date for this NPI number is 7/29/2013 and was last updated on 2/15/2016.

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
1	103TC0700X	Psychologist	Clinical			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YM0800X	Counselor	Mental Health			No
4	101YP1600X	Counselor	Pastoral			No
5	101YP2500X	Counselor	Professional			No
6	1041C0700X	Social Worker	Clinical			No
7	261QH0100X	Clinic/Center	Health Service			No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
9	261QM1300X	Clinic/Center	Multi-Specialty			No
10	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	5042161511701	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	II378A	MEDICARE PIN	FLORIDA
2	015016000	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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