MEDICARE: SEEDS OF CHANGE COUNSELING SERVICES 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1558135475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEDS OF CHANGE COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	20 E MILWAUKEE ST STE 310
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53545-3061
Country	:	US
Telephone Number	:	608-352-7008
Fax Number	:	608-352-7012

Provider Business Practice Location Address
First Line	:	20 E MILWAUKEE ST STE 310
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53545-3061
Country	:	US
Telephone Number	:	608-352-7008
Fax Number	:	608-352-7012

Authorized Official
Title or Position	:	OWNER
Name	:	BECKY DREWS
Credential	:
Telephone Number	:	608-352-7008

Provider Enumeration Date	:	11/10/2023
Last Update Date	:	07/31/2025

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