Healthcare Provider Details

I. General information

NPI: 1982525176
Provider Name (Legal Business Name): DESIRED CHANGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8008 E ARAPAHOE CT # 103
CENTENNIAL CO
80112-6839
US

IV. Provider business mailing address

582 NILE ST # A
AURORA CO
80010-4732
US

V. Phone/Fax

Practice location:
  • Phone: 720-689-3512
  • Fax:
Mailing address:
  • Phone: 720-689-3512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXIS TOUSSAINT
Title or Position: OWNER/ CEO
Credential: DSW, LCSW
Phone: 720-689-3512