Institute for Behavioral Change, Inc.

NPI #1750084554 in Waldorf, Maryland

Provider Information

NPI Number: 1750084554
Entity Type: Organization
Organization Name: Institute for Behavioral Change, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 22, 2023
Last Updated: Mar 22, 2023

Practice Location

Address: 2670 CRAIN HWY STE 205
City: Waldorf
State: Maryland
ZIP Code: 20601-2816
Phone: (301) 818-0092

Authorized Official

Name: DEVONE CLARICE WILLIAMS
Title: COO
Phone: (301) 818-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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