Provider Demographics
NPI:1770115305
Name:HEALTHY CHANGES, LLC
Entity type:Organization
Organization Name:HEALTHY CHANGES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAKAKHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JARREAU-GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-373-4467
Mailing Address - Street 1:3157 GENTILLY BLVD # 2412
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3872
Mailing Address - Country:US
Mailing Address - Phone:504-373-4467
Mailing Address - Fax:888-340-8273
Practice Address - Street 1:2714 CANAL ST STE 305
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5570
Practice Address - Country:US
Practice Address - Phone:504-373-4467
Practice Address - Fax:888-340-8273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty