Change Therapy Center, LLC

NPI #1366808834 in Valparaiso, Indiana

Provider Information

NPI Number
1366808834
Entity Type
Organization
Organization Name
Change Therapy Center, LLC
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Jan 13, 2016
Last Updated
Jan 13, 2016

Practice Location

Address
954 EASTPORT CENTRE DR
Address 2
SUITE B
State
Indiana
ZIP Code
46383-4457
Phone
(847) 338-6844

Authorized Official

Name
MELISSA SCANNELL
Title
OWNER
Phone
(847) 338-6844

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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