Provider Demographics
NPI:1881027936
Name:MOVE TOWARD CHANGE LLC
Entity Type:Organization
Organization Name:MOVE TOWARD CHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HAWANYA
Authorized Official - Middle Name:BINTOU
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:866-867-5393
Mailing Address - Street 1:3308 PRESTON RD STE 350-374
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7453
Mailing Address - Country:US
Mailing Address - Phone:866-867-5393
Mailing Address - Fax:919-589-5394
Practice Address - Street 1:3308 PRESTON RD STE 350-374
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7453
Practice Address - Country:US
Practice Address - Phone:919-589-5393
Practice Address - Fax:919-589-5394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENIGMA BY HBM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-13
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty