| Changing Matters | |
|
411 E Mulberry St Amite LA 70422-2527 | |
| (225) 252-2212 | |
| (985) 748-8515 |
| Full Name | Changing Matters |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 411 E Mulberry St, Amite, Louisiana |
| Authorized Official Name and Position | Rachel Davis (OWNER / CLINICAL DIRECTOR) |
| Authorized Official Contact | 2252522212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Matters Po Box 476 Amite LA 70422-0476 Ph: (225) 252-2212 | Changing Matters 411 E Mulberry St Amite LA 70422-2527 Ph: (225) 252-2212 |
| NPI Number | 1356771232 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 11/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356771232 | NPI | - | NPPES |
| 600551753 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1009 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8468 (Louisiana) | Primary |
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