MEDICARE: CONNECTIONS AND CHANGES,INC.

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
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1295698108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTIONS AND CHANGES,INC.

Provider Business Mailing Address
First Line	:	3945 SOMERLED TRL
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-2035
Country	:	US
Telephone Number	:	404-580-0567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 ROCK QUARRY RD
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-5047
Country	:	US
Telephone Number	:	404-580-0567
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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