Provider Demographics
NPI:1730477688
Name:THE POWER OF CHANGE INC
Entity Type:Organization
Organization Name:THE POWER OF CHANGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:SHERIE
Authorized Official - Last Name:ARMON-BENT
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPC,CSAC, CDVA
Authorized Official - Phone:414-374-8787
Mailing Address - Street 1:2821 N VEL R PHILLIPS AVE STE 131
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2370
Mailing Address - Country:US
Mailing Address - Phone:414-374-8787
Mailing Address - Fax:414-374-8181
Practice Address - Street 1:2821 N VEL R PHILLIPS AVE STE 131
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2370
Practice Address - Country:US
Practice Address - Phone:414-374-8787
Practice Address - Fax:414-374-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2944101YA0400X, 101YM0800X, 101YP2500X, 103TP2701X, 106H00000X, 291U00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory