| Modern Change Pllc | |
|
5720 Fayetteville Rd Ste 202 Durham NC 27713-5333 | |
| (919) 576-0084 | |
| (919) 797-9922 |
| Full Name | Modern Change Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5720 Fayetteville Rd Ste 202, Durham, North Carolina |
| Authorized Official Name and Position | Monique Porter (OWNER) |
| Authorized Official Contact | 9195760084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Change Pllc 5720 Fayetteville Rd Ste 202 Durham NC 27713-5333 Ph: (919) 576-0084 | Modern Change Pllc 5720 Fayetteville Rd Ste 202 Durham NC 27713-5333 Ph: (919) 576-0084 |
| NPI Number | 1790311207 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790311207 | NPI | - | NPPES |
| 1295187763 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Infants, Children, Adults, Adolescents/juveniles, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N Roxboro St, Durham, NC 27704 Phone: 919-201-0052 |