CHANGE THERAPY PROFESSIONALS INC.


Address: 954 Eastport Centre Dr Ste A, Valparaiso, IN 46383-4456
Phone: 2192863255

CHANGE THERAPY PROFESSIONALS INC. (NPI# 1144731548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144731548
Entity Type Organization
Organization Name CHANGE THERAPY PROFESSIONALS INC.
Practice Address 954 Eastport Centre Dr Ste A
Valparaiso
IN 46383-4456
Practice Telephone 2192863255
Mailing Telephone 2192863255
Enumeration Date 2017-10-12
Last Update Date 2017-10-12
Authorized Official Name MELISSA SCANNELL (OWNER/THERAPIST)
Authorized Official Telephone 2192863255
Authorized Official Credential MA, LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
201710021217004 IN Ambulatory Health Care Facilities

Office Location

Street Address 954 EASTPORT CENTRE DR STE A
City VALPARAISO
State IN
Zip Code 46383-4456

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1972163806 Melissa E Valtierra Counselor 204 Valparaiso St, Valparaiso, IN 46383 2019-06-13
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1831654680 Mark Esiyeden Driver 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 2019-02-06
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1285112334 Tricia Louise Burkins Nurse Practitioner 1861 South Sturdy Road, Valparaiso, IN 46383 2018-08-01
1598262388 Elizabeth R Kozak Physical Therapist 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 2018-04-09
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578566915 Choices Counseling Services, P.C. Clinic/Center 607 Lincolnway, Valparaiso, IN 46383-5727 2005-05-31
1982726220 Porter Starke Services Inc Clinic/Center 601 Wall St, Valparaiso, IN 46383-2512 2007-04-06
1689627598 Porter-starke Services Inc. Clinic/Center 601 Wall St, Valparaiso, IN 46383-2512 2006-05-19

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1710585997 Bloomington Neurofeedback Clinic/Center 1905 S Liberty Dr, Bloomington, IN 47403-5146 2020-10-11
1255943346 Reality Counseling LLC Clinic/Center 5610 Crawfordsville Rd Ste 605, Indianapolis, IN 46224-3715 2020-08-19
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1265068084 Wellness Etc LLC Clinic/Center 1133 W Mill Rd Ste 200, Evansville, IN 47710-3877 2020-03-13
1114553948 Johnson Nichols Health Clinic, Inc. Clinic/Center 720 N Marr Rd Ste A, Columbus, IN 47201-6660 2020-03-12
1376174904 Karen Brosius LLC Clinic/Center 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 2020-02-02
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Competitor

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City VALPARAISO
Zip Code 46383

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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