Provider Demographics
NPI:1356771059
Name:READY 4 CHANGE INC
Entity type:Organization
Organization Name:READY 4 CHANGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-907-7819
Mailing Address - Street 1:5 CENTERVIEW DR
Mailing Address - Street 2:STE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3724
Mailing Address - Country:US
Mailing Address - Phone:336-908-7819
Mailing Address - Fax:336-907-7836
Practice Address - Street 1:5 CENTERVIEW DR
Practice Address - Street 2:STE 101
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3724
Practice Address - Country:US
Practice Address - Phone:336-908-7819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2718101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty