Provider Demographics
NPI:1184285066
Name:CHANGE4GREATNESS LLC
Entity type:Organization
Organization Name:CHANGE4GREATNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GREEBON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:877-762-0370
Mailing Address - Street 1:333 ALBERT AVE STE 633
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4393
Mailing Address - Country:US
Mailing Address - Phone:877-762-0370
Mailing Address - Fax:575-728-8572
Practice Address - Street 1:333 ALBERT AVE STE 633
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4393
Practice Address - Country:US
Practice Address - Phone:877-762-0370
Practice Address - Fax:575-728-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-22
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty