Provider Demographics
NPI:1043500333
Name:CHANGING WAYS, INC
Entity Type:Organization
Organization Name:CHANGING WAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:LORETTA
Authorized Official - Last Name:HEIM
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:830-643-1445
Mailing Address - Street 1:1040 N WALNUT AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5312
Mailing Address - Country:US
Mailing Address - Phone:830-643-1445
Mailing Address - Fax:830-643-1451
Practice Address - Street 1:1040 N WALNUT AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5312
Practice Address - Country:US
Practice Address - Phone:830-643-1445
Practice Address - Fax:830-643-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10979101YA0400X
TX201275101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty