Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SEA CHANGE PSYCHOTHERAPY, LLC
Active
Organization
SEA CHANGE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA JANE MADSEN MS, LPC (MANAGER/OWNER)
(404) 448-2080
Entity
Organization
Contact information
Practice address
32 LENOX POINTE NE SUITE B, ATLANTA, GA 30324
(404) 448-2080
Mailing address
3681 DEVENWOOD WAY, BUFORD, GA 30519
(913) 235-2345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760027932
NPPES
GA
Enumeration date
05/08/2023
Last updated
05/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up