Organization
CHANGE, LLC
Active
Organization
CHANGE, LLC
Active
Parent organization
CHANGE AZ
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGE AZ
Authorized official
DR. TIFFANY RUELAZ PHD, LPC (CEO/LEAD CLINICAL THERAPIST)
(520) 276-6893
Entity
Organization
Contact information
Practice address
6692 E VIA JARDIN VERDE, TUCSON, AZ 85756-0022
(623) 632-9586
Mailing address
6692 E VIA JARDIN VERDE, TUCSON, AZ 85756-0022
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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