Changequest, LLC

NPI #1457185852 in Mequon, Wisconsin

Provider Information

NPI Number: 1457185852
Entity Type: Organization
Organization Name: Changequest, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 28, 2024
Last Updated: Aug 28, 2024

Practice Location

Address: 11345 N PORT WASHINGTON RD
Address 2: SUITE 202
City: Mequon
State: Wisconsin
ZIP Code: 53092
Phone: (262) 261-4698

Authorized Official

Name: DR. ANNE M FORS SPAHR, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (262) 261-4698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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