| Changing Paths, Llc | |
|
9229 Vervain Way Sacramento CA 95829-8733 | |
| (209) 242-6729 | |
| Not Available |
| Full Name | Changing Paths, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9229 Vervain Way, Sacramento, California |
| Authorized Official Name and Position | Tamra Smith (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2092426729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Paths, Llc 9229 Vervain Way Sacramento CA 95829-8733 Ph: () - | Changing Paths, Llc 9229 Vervain Way Sacramento CA 95829-8733 Ph: (209) 242-6729 |
| NPI Number | 1114649308 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114649308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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