Organization
CHANGES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE J POPE LIMHP, LADC (OWNER)
(402) 669-6204
Entity
Organization
Contact information
Practice address
9374 N ST, OMAHA, NE 68127-2307
(402) 669-6204
Mailing address
9374 N ST, OMAHA, NE 68127-2307
(402) 669-6204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
992
NE
251S00000X
Community/Behavioral Health Agency
871
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10026192600
NPI
NE
Enumeration date
11/16/2012
Last updated
11/16/2012
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