Provider Demographics
NPI:1750980926
Name:CULTIVATING CHANGE COUNSELING
Entity type:Organization
Organization Name:CULTIVATING CHANGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-358-0708
Mailing Address - Street 1:323 S FULTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4527
Mailing Address - Country:US
Mailing Address - Phone:484-602-5485
Mailing Address - Fax:
Practice Address - Street 1:641 N 13TH ST STE E101
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-1430
Practice Address - Country:US
Practice Address - Phone:610-602-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty