MEDICARE: CHANGE IS POSSIBLE COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker
4	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1962435438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANGE IS POSSIBLE COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	2122 15 MILE RD
Second Line	:	SUITE B
City	:	STERLING HTS
State	:	MI
Zip	:	48310-4853
Country	:	US
Telephone Number	:	586-264-3692
Fax Number	:	586-939-5953

Provider Business Practice Location Address
First Line	:	2122 15 MILE RD
Second Line	:	SUITE B
City	:	STERLING HTS
State	:	MI
Zip	:	48310-4853
Country	:	US
Telephone Number	:	586-264-3692
Fax Number	:	586-939-5953

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/OWNER
Name	:	CYNTHIA L ZITNY
Credential	:	LMSW, LMFT
Telephone Number	:	586-264-3692

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/11/2025

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