# STEPS FOR CHANGE BEHAVIORAL HEALTHCARE

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952765596
- **Authorized official:** KIMESHA SPINKS (CEO)
- **Authorized official phone:** (336) 302-0801

## Contact information

- **Practice address:** 634 1ST ST S, WINTER HAVEN, FL 33880-3603
- **Practice address phone:** (407) 912-4574
- **Practice address fax:** (336) 824-1737
- **Mailing address:** 634 1ST ST S, WINTER HAVEN, FL 33880-3603
- **Mailing address phone:** (407) 912-4574
- **Mailing address fax:** (336) 824-1737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | FL | — |

## Other

- **Enumeration date:** 04/10/2016
- **Last updated:** 10/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ATN620797 | — | FL |
| 05 | — | ATN620799 | — | FL |