Provider Demographics
NPI:1386389674
Name:ASPIRE CHANGE
Entity type:Organization
Organization Name:ASPIRE CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-358-5042
Mailing Address - Street 1:5915 E ANAHEIM ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-8212
Mailing Address - Country:US
Mailing Address - Phone:520-358-5042
Mailing Address - Fax:
Practice Address - Street 1:5915 E ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-8212
Practice Address - Country:US
Practice Address - Phone:520-358-5042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty