Provider Demographics
NPI:1700427820
Name:TRUST2CHANGE, LLC.
Entity type:Organization
Organization Name:TRUST2CHANGE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-282-2451
Mailing Address - Street 1:3200 POINTE PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3370
Mailing Address - Country:US
Mailing Address - Phone:678-587-8135
Mailing Address - Fax:678-585-6897
Practice Address - Street 1:3200 POINTE PKWY STE 400
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3370
Practice Address - Country:US
Practice Address - Phone:678-259-9298
Practice Address - Fax:678-585-6897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty