Provider Demographics
NPI:1578334132
Name:CHANGE POINTE LLC
Entity Type:Organization
Organization Name:CHANGE POINTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BEHAVIORAL HEALTH SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:UNRUH
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW, LISW, LCAC
Authorized Official - Phone:620-982-2093
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-0191
Mailing Address - Country:US
Mailing Address - Phone:620-271-8650
Mailing Address - Fax:
Practice Address - Street 1:2606 N FLEMING ST STE 2
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3254
Practice Address - Country:US
Practice Address - Phone:620-982-2093
Practice Address - Fax:620-710-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)