MEDICARE: RESPITE FOR CHANGE INC.

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	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1912830209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPITE FOR CHANGE INC.

Provider Business Mailing Address
First Line	:	1035 RUBY AVE SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-5862
Country	:	US
Telephone Number	:	772-206-9273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1035 RUBY AVE SW
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32968-5862
Country	:	US
Telephone Number	:	772-206-9273
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. OWEPATRICE GAILLARD
Credential	:
Telephone Number	:	772-206-9273

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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