Organization
SOLUTIONS FOR CHANGE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRAYCEEA RAY LCSW (LICENSED CERTIFIED SOCIAL WORKER)
(662) 588-0025
Entity
Organization
Contact information
Practice address
511 S DAVIS AVE, CLEVELAND, MS 38732-3924
(662) 441-0610
(662) 441-0614
Mailing address
PO BOX 342, CLEVELAND, MS 38732-0342
(662) 441-0061
(662) 441-0614
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02275296
—
MS
Enumeration date
04/05/2023
Last updated
04/05/2023
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