Provider Demographics
NPI:1851832802
Name:CONNECT2CHANGE COUNSELING LLC
Entity Type:Organization
Organization Name:CONNECT2CHANGE COUNSELING LLC
Other - Org Name:CONNECT2CHANGE COUNSELING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:ZAPSIC
Authorized Official - Suffix:JR
Authorized Official - Credentials:MFT
Authorized Official - Phone:614-900-2390
Mailing Address - Street 1:57 W WATERLOO ST STE 104
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1139
Mailing Address - Country:US
Mailing Address - Phone:614-900-2390
Mailing Address - Fax:
Practice Address - Street 1:57 W WATERLOO ST STE 104
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1139
Practice Address - Country:US
Practice Address - Phone:614-900-2390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty