THE CHANGE STUDIO NPI 1548625080

NPI Information

NPI: 1548625080
Provider Name: THE CHANGE STUDIO
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
959 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 259-5033
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THE CHANGE STUDIO is a professional counselor in Grand Rapids, MI. THE CHANGE STUDIO NPI is 1548625080. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

959 LAKE DR SE
GRAND RAPIDS, MI
ZIP 49506-447
Phone: (616) 259-5033
Fax: (616) 452-1024

The provider's authorized official is Dana Patricia Price .
The authorized official title is Owner/therapist and has the following contact phone number (616) 259-5033.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 12/29/2015.

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	101YP2500X	Counselor	Professional	6401010358	MICHIGAN	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: 11/14/2023

NPI Synchronization or Removal

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