A CHANGE OF MIND, LLC


Address: 5020 Tamiami Trail N, Suite 202, Naples, FL 34103
Phone: 2392604387

A CHANGE OF MIND, LLC (NPI# 1720526387) 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) 1720526387
Entity Type Organization
Organization Name A CHANGE OF MIND, LLC
Practice Address 5020 Tamiami Trail N
Suite 202
Naples
FL 34103
Practice Telephone 2392604387
Practice Fax Number 8447159627
Mailing Telephone 2392604387
Mailing Fax Number 8447159627
Enumeration Date 2017-02-03
Last Update Date 2018-01-04
Authorized Official Name MRS. HEIDI ANN WILSON (OWNER)
Authorized Official Telephone 2392604387
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health SW9293 FL Agencies
Y 1041C0700X Social Worker
Specialization: Clinical
SW9293 FL Behavioral Health & Social Service Providers

Office Location

Street Address 5020 TAMIAMI TRAIL N
SUITE 202
City NAPLES
State FL
Zip Code 34103

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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1306456975 Brighton Heart Healing Center LLC Social Worker 405 Fifth Ave S Ste 7, Naples, FL 34102-6515 2020-08-07
1952929051 Shea Alison Fuller Social Worker 1223 Whippoorwill Ln, Naples, FL 34105-5028 2020-07-06
1659996312 Harlee Ann Samuels Social Worker 16000 Arbor View Blvd Apt 325, Naples, FL 34110-2241 2020-06-09
1831748409 Christine Lane Counseling Social Worker 365 Fifth Ave S, Naples, FL 34102-6575 2019-09-06
1326518713 Jessica Yarab Social Worker 501 Goodlette Frank Rd Ste C210, Naples, FL 34102-5622 2018-11-28
1134607203 Maria Ellis, LLC Social Worker 3017 Driftwood Way Unit 3006, Naples, FL 34109-8981 2018-08-01
1285131680 Jacqueline Anne Pittman Social Worker Monarch Wellness, LLC, 12264 Tamiami Trail East, Suite 202, Naples, FL 34113 2018-04-11
1538678941 Mariana Vandivier Social Worker 4670 Saint Croix Ln, Naples, FL 34109-3540 2017-09-28
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Competitor

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City NAPLES
Zip Code 34103

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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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