Healthcare Provider Details

I. General information

NPI: 1295698108
Provider Name (Legal Business Name): CONNECTIONS AND CHANGES,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ROCK QUARRY RD
STOCKBRIDGE GA
30281-5047
US

IV. Provider business mailing address

3945 SOMERLED TRL
ATLANTA GA
30349-2035
US

V. Phone/Fax

Practice location:
  • Phone: 404-580-0567
  • Fax:
Mailing address:
  • Phone: 404-580-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHERYL ANNE SULLIVAN
Title or Position: CEO
Credential: LMT, CMLDT
Phone: 404-580-0567