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NPI Code Detail

MEDICARE: MOVE TOWARD CHANGE LLC

MEDICARE: MOVE TOWARD CHANGE 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
21041C0700XClinical Social Worker
3101YP2500XProfessional Counselor
4106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1881027936
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOVE TOWARD CHANGE LLC
Provider Business Mailing Address
First Line : 3308 PRESTON RD STE 350-374
Second Line :
City : PLANO
State : TX
Zip : 75093-7453
Country : US
Telephone Number : 866-867-5393
Fax Number : 844-860-5395
Provider Business Practice Location Address
First Line : 1820 PRESTON PARK BLVD STE 2200
Second Line :
City : PLANO
State : TX
Zip : 75093-3614
Country : US
Telephone Number : 866-867-5393
Fax Number : 844-860-5395
Authorized Official
Title or Position : OWNER
Name : MS. HAWANYA BINTOU MILLER
Credential : LMFT
Telephone Number : 866-867-5393
Provider Enumeration Date : 08/13/2013
Last Update Date : 09/19/2025

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Directions to “MOVE TOWARD CHANGE LLC ” Practice Location

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