Provider Demographics
NPI:1306262761
Name:CHANGE TODAY COUNSELING, LLC
Entity type:Organization
Organization Name:CHANGE TODAY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-330-1453
Mailing Address - Street 1:601 BROOK ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1001
Mailing Address - Country:US
Mailing Address - Phone:734-330-1453
Mailing Address - Fax:517-513-6533
Practice Address - Street 1:808 W CHICAGO BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-1666
Practice Address - Country:US
Practice Address - Phone:517-295-1050
Practice Address - Fax:517-513-6533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010918221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty