CHANGES1 PLLC NPI 1578960480

NPI Information

NPI: 1578960480
Provider Name: CHANGES1, PLLC

Doing Business As: CHANGES 1, LLC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
19940 CONANT
STE A, B, & C
DETROIT, MI
ZIP 48234
Phone: (313) 305-4180
Get Directions

CHANGES1, PLLC is a methadone clinic center in Detroit, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CHANGES1, PLLC NPI is 1578960480. The provider is registered as an organization entity type.
The provider Is Doing Business As Changes 1, Llc.

The provider's business location address is:

19940 CONANT
STE A, B, & C
DETROIT, MI
ZIP 48234-494
Phone: (313) 305-4180
Fax: (313) 733-8190

The provider's authorized official is Naomi Diana Taylor .
The authorized official title is Vice-president and has the following contact phone number (313) 695-3951.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 3/3/2015.

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	261QM2800X	Clinic/Center	Methadone			No
2	261QM2800X	Clinic/Center	Methadone	SA0823228	MICHIGAN	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	F28207	MEDICARE UPIN	MICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »