Provider Demographics
NPI:1437822582
Name:EMBRACING CHANGE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:EMBRACING CHANGE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUITING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:623-377-9998
Mailing Address - Street 1:20403 N LAKE PLEASANT RD STE 117-426
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-9702
Mailing Address - Country:US
Mailing Address - Phone:623-377-9998
Mailing Address - Fax:
Practice Address - Street 1:31110 N 137TH AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-7937
Practice Address - Country:US
Practice Address - Phone:623-377-9998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)