Organization
CHANGE FOR LIVING COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TOPAL LCSW (MEMBER/ORGANIZER)
(919) 360-1929
Entity
Organization
Contact information
Practice address
111 WINDEL DR STE 205, RALEIGH, NC 27609-4477
(919) 360-1929
Mailing address
3700 ECK DR, RALEIGH, NC 27604-4034
(919) 360-1929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C003891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003326
—
NC
Enumeration date
04/14/2010
Last updated
04/14/2010
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