Organization
CHANGE AGENTS OF SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADEN HINES (CHIEF EXECUTIVE OFFICER)
(702) 305-0652
Entity
Organization
Contact information
Practice address
840 CANTON GRASS LN, LA MARQUE, TX 77568-1007
(702) 305-0652
Mailing address
840 CANTON GRASS LN, LA MARQUE, TX 77568-1007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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