| Everything Changes, Llc | |
|
1620 E Broad St Ste 102 Columbus OH 43203-2012 | |
| (614) 321-9128 | |
| (614) 412-1362 |
| Full Name | Everything Changes, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1620 E Broad St Ste 102, Columbus, Ohio |
| Authorized Official Name and Position | Adam D Wills (THERAPIST/OWNER) |
| Authorized Official Contact | 4195790274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everything Changes, Llc 1620 E Broad St Ste 102 Columbus OH 43203-2012 Ph: (614) 321-9128 | Everything Changes, Llc 1620 E Broad St Ste 102 Columbus OH 43203-2012 Ph: (614) 321-9128 |
| NPI Number | 1891305801 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 9830515873 |
|---|---|
| Medicare Enrollment ID | O20200820001914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891305801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adam D. E. Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083944656 PECOS PAC ID: 4981861051 Enrollment ID: I20120131000914 |
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