Dare to Change, LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MFTMFT00218984 Issued in KY

Legal business name

DARE TO CHANGE, LLC

Practice address

811 S 2ND St
Louisville, KY 40203-2209

Phone

(502) 403-5921

NPI assigned

Nov 30, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Damon Cobble, LMFT

Title

Owner

Phone

(502) 403-5921

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1063886133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032209",
            "telephone_number": "502-403-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "COBBLE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-403-5921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "KY",
            "license": "MFTMFT00218984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyima Darboe
• Darby Consulting
• Jolene Darby, RD, LD
• Travis Raymond Darby, LMFT
• Tracy Darden, LPCA
• Darin a Harden MD PLLC
• Ellen Darkwa
• Patricia Darling
• Collan Joseph Darnall, APRN
• Angela Rhea Darnell, LCSW

• Community Health Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Community Health Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.