CHANGES1 PLLC NPI 1578960480

NPI Information

  • NPI: 1578960480
  • Provider Name: CHANGES1, PLLC
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Doing Business As: CHANGES 1, LLC
  • Address: 19940 CONANT
    STE A, B, & C
    DETROIT, MI
    ZIP 48234
  • Phone: (313) 305-4180

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NPI Details

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
1261QM2800XClinic/CenterMethadoneNo
2261QM2800XClinic/CenterMethadoneSA0823228MICHIGANYes

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
1F28207MEDICARE UPINMICHIGAN

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: 11/21/2025

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