Organization
CHANGE THERAPY PROFESSIONALS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SCANNELL MA, LMHC (OWNER/THERAPIST)
(219) 286-3255
Entity
Organization
Contact information
Practice address
954 EASTPORT CENTRE DR STE A, VALPARAISO, IN 46383-4456
(219) 286-3255
Mailing address
954 EASTPORT CENTRE DR STE A, VALPARAISO, IN 46383-4456
(219) 286-3255
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
201710021217004
IN
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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