Therapeutic Change Pllc

LBN: Therapeutic Change Pllc
Therapeutic Change Pllc is an health care organization with primary practice located at 1314 Kauffman Ave , Vancouver WA 98660-2725. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Therapeutic Change Pllc can be contacted via phone (360) 602-1477, or through Brown, Summer Lyn via phone (360) 602-1477.

Contact Information

Primary practice address
1314 Kauffman Ave Vancouver WA 98660-2725
Phone: (360) 602-1477
Fax: (360) 334-5508
Website:
Map and Directions
Authorized official contact:
Name: Brown, Summer Lyn M.S.
Phone: (360) 602-1477

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1821653239
LBN Legal business name Therapeutic Change Pllc
DBA Doing business as
Authorized official Brown, Summer Lyn M.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2019
Last updated May 1st, 2019 - about 7 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.

Request for update

Popular Providers