Organization
YOUTH CHANGES INC
Active
Other names
Youth Changes
Organization subpart
No
Provider details
NPI number
Authorized official
TEIA WILSON DAVIS N/A (EXECUTIVE DIRECTOR)
(615) 972-9796
Entity
Organization
Contact information
Practice address
826 BROOKS AVE STE 5C, MADISON, TN 37115-2823
(615) 972-9796
Mailing address
366 W MAIN ST STE 5C, HENDERSONVILLE, TN 37075-3314
(615) 972-9796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
174200000X
Meals Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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