Healthcare Provider Details

I. General information

NPI: 1043153570
Provider Name (Legal Business Name): CHANGEPOINT INTEGRATED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E COOLEY ST
SHOW LOW AZ
85901-5271
US

IV. Provider business mailing address

1801 W DEUCE OF CLUBS STE 100
SHOW LOW AZ
85901-2704
US

V. Phone/Fax

Practice location:
  • Phone: 928-537-5315
  • Fax:
Mailing address:
  • Phone: 928-537-5315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA HOYT
Title or Position: QUALITY MANAGER
Credential:
Phone: 928-537-5315