Organization
CHANGES WELLNESS & RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE D WELLONS PHD CAP RMHCI (EXECUTIVE DIRECTOR)
(561) 229-1659
Entity
Organization
Contact information
Practice address
31 W 20TH ST, RIVIERA BEACH, FL 33404-6155
(561) 229-1659
(561) 331-2715
Mailing address
31 W 20TH ST, RIVIERA BEACH, FL 33404-6155
(561) 229-1659
(561) 331-2715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
5042161511701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015016000
—
FL
Enumeration date
07/29/2013
Last updated
02/15/2016
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