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NPI Code Detail

MEDICARE: SEASONS OF CHANGE COUNSELING, LLC

MEDICARE: SEASONS OF CHANGE COUNSELING, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1679379697
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEASONS OF CHANGE COUNSELING, LLC
Provider Business Mailing Address
First Line : 8111 REGENCY WOODS WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-3812
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 PEARL ST STE 203
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-3451
Country : US
Telephone Number : 502-689-3592
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : AUTUMN MEYER
Credential : LMHC
Telephone Number : 502-689-3592
Provider Enumeration Date : 02/20/2025
Last Update Date : 02/20/2025

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Directions to “SEASONS OF CHANGE COUNSELING, LLC ” Practice Location

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