Provider Demographics
NPI:1306611082
Name:ACCESS EMPOWERED CHANGE THERAPY, PLLC
Entity type:Organization
Organization Name:ACCESS EMPOWERED CHANGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEESHAWN
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-832-4187
Mailing Address - Street 1:801 BEROTTE ST
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:TX
Mailing Address - Zip Code:77575-7201
Mailing Address - Country:US
Mailing Address - Phone:281-832-4187
Mailing Address - Fax:
Practice Address - Street 1:801 BEROTTE ST
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:TX
Practice Address - Zip Code:77575-7201
Practice Address - Country:US
Practice Address - Phone:281-832-4187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care