# SKILLS FOR CHANGE THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063062107
- **Authorized official:** KEVIN PELLETIER LICSW (OWNER/SOCIAL WORKER)
- **Authorized official phone:** (508) 493-8494

## Contact information

- **Practice address:** 331 PAGE ST STE 3, STOUGHTON, MA 02072-1172
- **Practice address phone:** (508) 493-8494
- **Mailing address:** 120 BUTTERNUT RD, SOMERSET, MA 02726-1511
- **Mailing address phone:** (508) 493-8494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019