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Organization
THE CHANGE AGENCY
Active
Organization
THE CHANGE AGENCY
Active
Parent organization
THE CHANGE AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHANGE AGENCY
Authorized official
JASMYNE LOGAN (ADMINISRATION)
(614) 634-0195
Entity
Organization
Contact information
Practice address
2400 W STROOP RD, DAYTON, OH 45439-2041
(614) 634-0195
(937) 701-6901
Mailing address
2400 W STROOP RD, DAYTON, OH 45439-2041
(614) 634-0195
(937) 701-6901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/26/2025
Last updated
08/28/2025
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