| Change Therapy Professionals Inc. | |
|
954 Eastport Centre Dr Ste A Valparaiso IN 46383-4456 | |
| (219) 286-3255 | |
| Not Available |
| Full Name | Change Therapy Professionals Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 954 Eastport Centre Dr Ste A, Valparaiso, Indiana |
| Authorized Official Name and Position | Melissa Scannell (OWNER/THERAPIST) |
| Authorized Official Contact | 2192863255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Therapy Professionals Inc. 954 Eastport Centre Dr Ste A Valparaiso IN 46383-4456 Ph: (219) 286-3255 | Change Therapy Professionals Inc. 954 Eastport Centre Dr Ste A Valparaiso IN 46383-4456 Ph: (219) 286-3255 |
| NPI Number | 1144731548 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 10/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144731548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 201710021217004 (Indiana) | Primary |
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