Provider Demographics
NPI:1528212131
Name:MAKING CHANGES INC.
Entity Type:Organization
Organization Name:MAKING CHANGES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRACE
Authorized Official - Suffix:
Authorized Official - Credentials:P-LCSW
Authorized Official - Phone:252-258-5303
Mailing Address - Street 1:3701 ASHBROOK DR NW APT 615
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-7621
Mailing Address - Country:US
Mailing Address - Phone:252-258-5303
Mailing Address - Fax:252-281-5006
Practice Address - Street 1:2405D NASH ST NW # D
Practice Address - Street 2:D
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1360
Practice Address - Country:US
Practice Address - Phone:252-258-5303
Practice Address - Fax:252-281-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health