Provider Demographics
NPI:1083816086
Name:CHANGES COUNSELING SERVICES
Entity Type:Organization
Organization Name:CHANGES COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEREMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-257-0066
Mailing Address - Street 1:8711 BURNET RD
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7043
Mailing Address - Country:US
Mailing Address - Phone:512-257-0066
Mailing Address - Fax:512-459-0499
Practice Address - Street 1:8711 BURNET RD
Practice Address - Street 2:SUITE A-3
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-7043
Practice Address - Country:US
Practice Address - Phone:512-257-0066
Practice Address - Fax:512-459-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1947A324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility