# ICHOOSE CHANGE, LLC

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

## Provider details

- **NPI number:** 1528689122
- **Authorized official:** MRS. ROSELYN L BURNETT LMHC (CEO/ THERAPIST)
- **Authorized official phone:** (321) 339-7736

## Contact information

- **Practice address:** 1600 MALABAR RD, J-119, MELBOURNE, FL 32935-1408
- **Practice address phone:** (321) 205-7790
- **Mailing address:** 570 MALABAR RD SW APT 102, PALM BAY, FL 32907-3312
- **Mailing address phone:** (321) 339-7736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 05/05/2020