Provider Demographics
NPI:1659990281
Name:COUNSELING4CHANGE LLC
Entity Type:Organization
Organization Name:COUNSELING4CHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MR.
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:H
Authorized Official - Last Name:BELMONT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:888-787-1767
Mailing Address - Street 1:288 N HIDDEN TREE DR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5223
Mailing Address - Country:US
Mailing Address - Phone:888-787-1767
Mailing Address - Fax:888-788-2149
Practice Address - Street 1:288 N HIDDEN TREE DR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5223
Practice Address - Country:US
Practice Address - Phone:888-787-1767
Practice Address - Fax:888-788-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health