Provider Demographics
NPI:1194452722
Name:SOLUTIONS OF CHANGE
Entity type:Organization
Organization Name:SOLUTIONS OF CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DINISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGO
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:702-445-6937
Mailing Address - Street 1:2310 PASEO DEL PRADO STE A101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4329
Mailing Address - Country:US
Mailing Address - Phone:702-445-6937
Mailing Address - Fax:702-462-6549
Practice Address - Street 1:2310 PASEO DEL PRADO STE A101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4329
Practice Address - Country:US
Practice Address - Phone:702-445-6937
Practice Address - Fax:702-462-6549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health