Provider Demographics
NPI:1700228012
Name:THINK BELIEVE CHANGE, PLLC
Entity Type:Organization
Organization Name:THINK BELIEVE CHANGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-461-1021
Mailing Address - Street 1:PO BOX 312074
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131-2074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:210-579-1155
Practice Address - Street 1:330 STONE PARK
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2440
Practice Address - Country:US
Practice Address - Phone:830-461-1021
Practice Address - Fax:210-579-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-28
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)