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NPI Code Detail

MEDICARE: CHANGES COUNSELING CENTER, LLC

MEDICARE: CHANGES COUNSELING CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1225344096
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANGES COUNSELING CENTER, LLC
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number : 916-576-7893
Fax Number : 916-277-9380
Provider Business Practice Location Address
First Line : 2811 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9172
Country : US
Telephone Number : 919-354-0840
Fax Number : 855-420-6402
Authorized Official
Title or Position : MANAGER
Name : JASMINE SPAULDING
Credential :
Telephone Number : 916-576-7893
Provider Enumeration Date : 08/31/2010
Last Update Date : 10/14/2025

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Directions to “CHANGES COUNSELING CENTER, LLC ” Practice Location

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