| Change By Choice Llc | |
|
4715 Nw 53rd Ave Ste B Gainesville FL 32653-4856 | |
| (352) 575-8344 | |
| Not Available |
| Full Name | Change By Choice Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4715 Nw 53rd Ave Ste B, Gainesville, Florida |
| Authorized Official Name and Position | Sarah L Atkinson (COUNSELOR/ MANAGER) |
| Authorized Official Contact | 3525758344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change By Choice Llc 4715 Nw 53rd Ave Ste B Gainesville FL 32653-4856 Ph: (352) 575-8344 | Change By Choice Llc 4715 Nw 53rd Ave Ste B Gainesville FL 32653-4856 Ph: (352) 575-8344 |
| NPI Number | 1336685973 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336685973 | NPI | - | NPPES |
| MT 2959 | Other | FL | DOH, LMFT |
| MH9295 | Other | FL | DOH, LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9295 (Florida) | Primary |
| 106H00000X | Marriage & Family Therapist | MT2959 (Florida) | Secondary |
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