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
CENTER FOR POSITIVE CHANGE, LLC
Active
Organization
CENTER FOR POSITIVE CHANGE, LLC
Active
Other names
HILTON HEAD HYPNOTHERAPY, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALIST)
(912) 484-3879
Entity
Organization
Contact information
Practice address
38 SHERIDAN PARK CIR, C/O CANNONFIT TRANSFORMATION, BLUFFTON, SC 29910-7022
(843) 368-6331
Mailing address
2 DOUBLE EAGLE DR, BLUFFTON, SC 29910-4950
(843) 368-6331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5484
LICENSED PROFESSIONAL COUNSELOR INTERM
SC
Enumeration date
04/07/2015
Last updated
04/07/2015
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