# CREATING POSITIVE CHANGE COUNSELING

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

## Provider details

- **NPI number:** 1871205146
- **Authorized official:** DERRICK J ALLOWAY LCSW (OWNER)
- **Authorized official phone:** (862) 414-3186

## Contact information

- **Practice address:** 7135 E CAMELBACK RD, SCOTTSDALE, AZ 85251-1262
- **Practice address phone:** (862) 414-3186
- **Mailing address:** 7135 E CAMELBACK RD, SCOTTSDALE, AZ 85251-1262
- **Mailing address phone:** (862) 414-3186

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 12/19/2022