NPI Code Details Logo

NPI 1295698108

NPI 1295698108 : CONNECTIONS AND CHANGES,INC. : STOCKBRIDGE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295698108
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CONNECTIONS AND CHANGES,INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/08/2025
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1500 ROCK QUARRY RD 
-----------------------------------------------------
    City                 |    STOCKBRIDGE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30281-5047
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-580-0567
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3945 SOMERLED TRL 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30349-2035
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-580-0567
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     CHERYL ANNE SULLIVAN 
-----------------------------------------------------
    Credential           |    LMT, CMLDT
-----------------------------------------------------
    Telephone            |    404-580-0567
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225700000X
-----------------------------------------------------
    Taxonomy Name        |    Massage Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.