CHANGE THERAPY CENTER, LLC (NPI# 1366808834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366808834 |
| Entity Type | Organization |
| Organization Name | CHANGE THERAPY CENTER, LLC |
| Practice Address |
954 Eastport Centre Dr Suite B Valparaiso IN 46383-4457 |
| Practice Telephone | 8473386844 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MELISSA SCANNELL (OWNER) |
| Authorized Official Telephone | 8473386844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
954 EASTPORT CENTRE DR SUITE B |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 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 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871116 | Loving Shepherd International Services & Foundation, Inc. | Clinic/Center | 1935 N Main St, Bluffton, IN 46714-1182 | 2020-05-04 |
| 1235773664 | Life Mentoring Inc. | Clinic/Center | 123 Harrington Ave Apt 2b, Crown Point, IN 46307-3843 | 2019-10-29 |
| 1265081301 | The Trauma and Addiction Treatment Center LLC | Clinic/Center | 1832 Explorer Ct, Franklin, IN 46131-6982 | 2019-09-11 |
| 1083275465 | The Academic Achievement Center, LLC | Clinic/Center | 2050 Doctors Park Dr, Columbus, IN 47203-2221 | 2019-06-26 |
| 1598263469 | Compass Counseling and Consulting Services, LLC. | Clinic/Center | 14074 Trade Center Dr Ste 247, Fishers, IN 46038-4579 | 2018-01-25 |
| 1811234099 | Encouragement, LLC | Clinic/Center | 1017 Bontrager Ave, Elkhart, IN 46517-2811 | 2013-01-08 |
| 1861531386 | Zionsville Presbyterian Church | Clinic/Center | 4715 W 116th Street, Zionsville, IN 46077 | 2007-02-05 |
| 1003849605 | Ace Foster Care and Pediatric Home Nursing Agency | Clinic/Center | 7026 Indianapolis Blvd, Hammond, IN 46324-2208 | 2006-07-08 |
| 1730793530 | Choice Therapy | Clinic/Center | 12995 Star Dr, Fishers, IN 46037-5982 | 2020-08-31 |
| 1083102628 | Donald Joseph Bernat | Clinic/Center | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on CHANGE THERAPY CENTER, LLC.
| 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.