Provider Demographics
NPI:1316616014
Name:CHANGING PATHWAYS LLC
Entity type:Organization
Organization Name:CHANGING PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BISCHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:320-425-0300
Mailing Address - Street 1:2 2ND AVE S STE 160
Mailing Address - Street 2:
Mailing Address - City:SAUK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56379-1425
Mailing Address - Country:US
Mailing Address - Phone:320-425-0300
Mailing Address - Fax:320-425-0400
Practice Address - Street 1:2 2ND AVE S STE 160
Practice Address - Street 2:
Practice Address - City:SAUK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56379-1425
Practice Address - Country:US
Practice Address - Phone:320-425-0300
Practice Address - Fax:320-425-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty