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Organization

CLUSTER OF LIFE CHANGES LLC

Active
Other names
Cluster of Life Changes
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARNESHA L COLLINS LCSW (CEO)
(254) 289-2285
Entity
Organization

Contact information

Practice address
300 N RUFE SNOW DR, KELLER, TX 76248-4235
(254) 289-2285
(682) 593-3936
Mailing address
2001 STERLING TRACE DR, KELLER, TX 76248-9740
(254) 289-2285
(682) 593-3936

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306405592
INDIVIDUAL TYPE I NPI
Enumeration date
10/26/2021
Last updated
10/26/2021
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