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Center For Change, Llc
Mental Health Counselor in Walworth, Wisconsin
NPI 1720511330

Center For Change, Llc is a Mental Health Counselor based in Walworth, WI and is specialized in Mental Health. Center For Change, Llc practices in Walworth, WI. The NPI Number for Center For Change, Llc is 1720511330 and holds a License No. 5479-125 (Wisconsin).

The current practice location address for Center For Change, Llc is 129 Kenosha St, Walworth, WI and can be reached out via phone at 262-607-2770.

Location: 129 Kenosha St, Walworth, WI, 53184-0252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720511330
Provider Name
Center For Change, Llc
Credential
Provider Entity Type
Organization
Address
129 Kenosha St, Walworth, WI, 53184-0252
Phone Number
262-607-2770
Fax Number
Provider Enumeration Date
04/10/2017
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100054731 05 WI
institution
Provider Business Practice Location Address Details
Address
129 Kenosha St
City
Walworth
State
Wisconsin
Zip
53184
Phone Number
262-607-2770
Fax Number
person
Provider Business Mailing Address Details
Address
129 Kenosha St
City
Walworth
State
Wisconsin
Zip
53184
Phone Number
262-607-2770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5479-125 (Wisconsin)
Definition
Definition to come...
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