Provider Demographics
NPI:1053101360
Name:CHANGING SEASONS OF NC LLC
Entity type:Organization
Organization Name:CHANGING SEASONS OF NC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCS CCS MAC CCMC
Authorized Official - Phone:828-767-0811
Mailing Address - Street 1:PO BOX 625
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28642-0625
Mailing Address - Country:US
Mailing Address - Phone:336-530-0577
Mailing Address - Fax:888-870-0545
Practice Address - Street 1:501 CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28642-2413
Practice Address - Country:US
Practice Address - Phone:828-767-0811
Practice Address - Fax:888-870-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty