| Changing The Cycle 2 Licensed Clinical Social Worker, Inc. | |
|
1311 E Palmdale Blvd Ste 14 Palmdale CA 93550-2019 | |
| (661) 228-0567 | |
| (619) 241-2678 |
| Full Name | Changing The Cycle 2 Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 1311 E Palmdale Blvd Ste 14, Palmdale, California |
| Authorized Official Name and Position | David Richards (CEO) |
| Authorized Official Contact | 6612280567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing The Cycle 2 Licensed Clinical Social Worker, Inc. 1311 E Palmdale Blvd Ste 14 Palmdale CA 93550-2019 Ph: (661) 228-0567 | Changing The Cycle 2 Licensed Clinical Social Worker, Inc. 1311 E Palmdale Blvd Ste 14 Palmdale CA 93550-2019 Ph: (661) 228-0567 |
| NPI Number | 1881468932 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 12/12/2025 |
| Certification Date | 12/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881468932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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