Center Of Change

LBN: Center Of Change
Center Of Change is an health care organization with primary practice located at 1615A S Ingram Mill Rd , Springfield MO 65804-2261. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Center Of Change can be contacted via phone (417) 888-0886, or through Mckenna, Suzanne via phone (417) 888-0886.

Contact Information

Primary practice address
1615A S Ingram Mill Rd Springfield MO 65804-2261
Phone: (417) 888-0886
Fax: (417) 888-0846
Website:
Map and Directions
Authorized official contact:
Name: Mckenna, Suzanne PHD
Phone: (417) 888-0886

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY01825 Missouri

Profile Details

NPI number 1679741144
LBN Legal business name Center Of Change
DBA Doing business as
Authorized official Mckenna, Suzanne PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2008
Last updated May 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679741144 NPPES
Missouri MEDICAID 508440609

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