MEDICARE: CHANGING WAYZ LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1063211464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANGING WAYZ LLC

Provider Business Mailing Address
First Line	:	2200 VICTORY PKWY STE 602
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 VICTORY PKWY STE 602
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-2837
Country	:	US
Telephone Number	:	513-244-6990
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLE STOKES-BREWER
Credential	:
Telephone Number	:	513-244-6990

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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Directions to “CHANGING WAYZ LLC ” Practice Location

Language	Start Address	Practice Location

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