Change Agents Of Social Services Llc

LBN: Change Agents Of Social Services Llc
Change Agents Of Social Services Llc is an health care organization with primary practice located at 4717 E Mcdowell Rd , Phoenix AZ 85008-4544. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Related Providers / Day Training/Habilitation Specialist. Agencies / Community/Behavioral Health is the primary health care specialty. Change Agents Of Social Services Llc can be contacted via phone (702) 305-0562, or through Hines, Jaden via phone (702) 305-0652.

Contact Information

Primary practice address
4717 E Mcdowell Rd Phoenix AZ 85008-4544
Phone: (702) 305-0562
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hines, Jaden
Phone: (702) 305-0652

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1598506669
LBN Legal business name Change Agents Of Social Services Llc
DBA Doing business as
Authorized official Hines, Jaden
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 2024 - about 3 months 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.

Request for update

Popular Providers