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Organization
INSTITUTE FOR BEHAVIORAL CHANGE, INC.
Active
Organization
INSTITUTE FOR BEHAVIORAL CHANGE, INC.
Active
Other names
IBC
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONE CLARICE WILLIAMS (COO)
(301) 818-0092
Entity
Organization
Contact information
Practice address
2670 CRAIN HWY STE 303, WALDORF, MD 20601-2817
(301) 818-0092
(301) 818-0110
Mailing address
2670 CRAIN HWY STE 303, WALDORF, MD 20601-2817
(301) 818-0092
(301) 818-0110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
03/27/2023
Last updated
08/01/2026
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