Provider Demographics
NPI:1528390168
Name:7 DEGREE'S OF CHANGE
Entity Type:Organization
Organization Name:7 DEGREE'S OF CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINSTRATOR/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-449-3892
Mailing Address - Street 1:7220 ROSE TERRACE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-3671
Mailing Address - Country:US
Mailing Address - Phone:980-226-1493
Mailing Address - Fax:
Practice Address - Street 1:7220 ROSE TERRACE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215
Practice Address - Country:US
Practice Address - Phone:980-226-1493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency