# ADVANCED COUNSELING CARE AND CHANGE INC

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

## Provider details

- **NPI number:** 1588155568
- **Authorized official:** SUSANA COLALUCI (OWNER)
- **Authorized official phone:** (239) 200-2141

## Contact information

- **Practice address:** 5545 BERRYMAN ST, LEHIGH ACRES, FL 33971-6470
- **Practice address phone:** (239) 200-2141
- **Mailing address:** 5545 BERRYMAN ST, LEHIGH ACRES, FL 33971-6470
- **Mailing address phone:** (239) 200-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 05/24/2018
- **Last updated:** 11/03/2021