Healthcare Provider Details

I. General information

NPI: 1023649308
Provider Name (Legal Business Name): CHANGING POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2020
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 UNIVERSITY AVE W STE 219
SAINT PAUL MN
55104-2892
US

IV. Provider business mailing address

525 11TH AVE S
SOUTH ST PAUL MN
55075-2713
US

V. Phone/Fax

Practice location:
  • Phone: 763-501-7048
  • Fax: 651-925-0598
Mailing address:
  • Phone: 763-501-7048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MELANIE ALEMAN
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: MA. LMFT
Phone: 763-501-7048