Organization
CHANGE ME FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY OGLETREE LPC (DIRECTOR-CEO)
(706) 464-1300
Entity
Organization
Contact information
Practice address
1300 WYNNTON RD STE 102, COLUMBUS, GA 31906-5705
(706) 464-1300
Mailing address
395 DOGWOOD DR, COLUMBUS, GA 31907-5434
(706) 464-1300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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