Organization
THE CHANGE AGENCY
Active
Parent organization
THE CHANGE AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHANGE AGENCY
Authorized official
JASMYNE LOGAN (ADMINISRATION)
(614) 634-0195
Entity
Organization
Contact information
Practice address
2400 W STROOP RD, DAYTON, OH 45439-2041
(614) 634-0195
(937) 701-6901
Mailing address
2400 W STROOP RD, DAYTON, OH 45439-2041
(614) 634-0195
(937) 701-6901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/26/2025
Last updated
08/28/2025
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