A Chance 4 Change

LBN: A Chance 4 Change
A Chance 4 Change is an health care organization with primary practice located at 459 Locust St N Ste 108 , Twin Falls ID 83301-7324. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. A Chance 4 Change can be contacted via phone (208) 944-9776, or through Osen, Melissa via phone (208) 944-9776.

Contact Information

Primary practice address
459 Locust St N Ste 108 Twin Falls ID 83301-7324
Phone: (208) 944-9776
Fax: (208) 481-8489
Website:
Map and Directions
Authorized official contact:
Name: Osen, Melissa Licensed Clinical Social Worker (LCSW)
Phone: (208) 944-9776

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275093858
LBN Legal business name A Chance 4 Change
DBA Doing business as
Authorized official Osen, Melissa Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2019
Last updated Mar 21st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275093858 NPPES
Idaho Other 37121 LICENSE

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