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Organization

THE CHANGE CENTER OF AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN ULMER (MANAGER/CEO)
(504) 494-1883
Entity
Organization

Contact information

Practice address
9310 VICTORIA VALLEY CT, PORTER, TX 77365-7139
(504) 494-1883
Mailing address
9310 VICTORIA VALLEY CT, PORTER, TX 77365-7139
(504) 494-1883

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
251B00000X
Case Management Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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