Supported Change,Llc

LBN: Supported Change,Llc
Supported Change,Llc is an health care organization with primary practice located at 609 W Littleton Blvd Suite 201 , Littleton CO 80120. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Supported Change,Llc can be contacted via phone (720) 507-5023, or through Johanson, Allison via phone (720) 507-5023.

Contact Information

Primary practice address
609 W Littleton Blvd Suite 201 Littleton CO 80120
Fax:
Website:
Authorized official contact:
Name: Johanson, Allison

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2112 Colorado

Profile Details

NPI number 1760837132
LBN Legal business name Supported Change,Llc
DBA Doing business as
Authorized official Johanson, Allison
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2016
Last updated Aug 11th, 2016 - about 8 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 1760837132 NPPES
Colorado MEDICAID 11070382

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