Organization
A CHANGE WITHIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH LYNN DEMAISON MSW, LCSW (OWNER)
(704) 841-9454
Entity
Organization
Contact information
Practice address
250 NORTH TRADE STREET, STE 203, MATTHEWS, NC 28105-5040
(704) 841-9454
(866) 834-1817
Mailing address
250 NORTH TRADE STREET, STE 203, MATTHEWS, NC 28105-5040
(704) 841-9454
(866) 834-1817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265854095
—
NC
Enumeration date
05/02/2016
Last updated
03/01/2023
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