Change Behavioral Health, Inc
Organization Active NPI Community/Behavioral Health Agency · Waterloo, IA
NPI 1093006017 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1093006017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CHANGE BEHAVIORAL HEALTH, INC
- Practice address
- 501 Sycamore St Ste 623
Waterloo, IA 50703-4651 - Phone
- (319) 233-0323
- Fax
- (319) 233-5923
- NPI assigned
- Apr 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shannon Lee Harrington, BA, MA, MFT
- Title
- Chief Executove Officer
- Phone
- (319) 233-0323
National Provider Directory
Locations
103 E State St
Ste 419
Mason City, IA 50401
Phone (319) 233-0323
2307 Falls Ave
Ste 4
Waterloo, IA 50701
Phone (319) 233-0323
501 Sycamore St
Ste 623
Waterloo, IA 50703
Phone (319) 233-0323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
501 Sycamore St Ste 623
Waterloo, IA 50703-4651
Mailing address
2307 Falls Avenue Suite 4
Waterloo, IA 50701-5700
Phone (319) 233-0323
Other names
- Change Behavioral Health, Inc.
Other providers in Waterloo, IA
- Sung Whoy Cha
- Stephanie Chamberlin
- Gatbel Nyak Chamjock
- Samir Chandra
- Change Behavioral Health
- Maria Isabel Chao-Shepard
- Dawn Tya Chapin
- Wendy Lynn Chapin
- Renee B Chapman
- Ashley Lynn Charmichael
All providers in Waterloo, IA · Community/Behavioral Health Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.