The Change Agency

NPI #1306449384 in Moraine, Ohio

Provider Information

NPI Number: 1306449384
Entity Type: Organization
Organization Name: The Change Agency
Primary Specialty: Counselor
Enumeration Date: Nov 20, 2020
Last Updated: Aug 28, 2025

Practice Location

Address: 2400 W STROOP RD
City: Moraine
State: Ohio
ZIP Code: 45439-2041
Phone: (937) 315-0030

Authorized Official

Name: JEORGE L LOGAN, MSSA,LICDC,CPS-S
Title: DIRECTOR
Phone: (937) 303-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Substance Abuse Rehabilitation Facility	324500000X
Counselor	101Y00000X	Primary

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