Organization Active NPI

Solutions for Change, LLC.

  • Community/Behavioral Health Agency
  • Cleveland, MS
National Provider Identifier
1124713268
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOLUTIONS FOR CHANGE, LLC.
Practice address
511 S Davis Ave
Cleveland, MS 38732-3924
Phone
(662) 441-0610
Fax
(662) 441-0614
NPI assigned
Apr 5, 2023
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Ms. Trayceea Ray, LCSWNPI 1548772643
Title
Licensed Certified Social Worker
Phone
(662) 588-0025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

511 S Davis Ave
Cleveland, MS 38732-3924

Mailing address

PO Box 342
Cleveland, MS 38732-0342
Phone (662) 441-0061

Other identifiers 1

IdentifierTypeStateIssuer
02275296MedicaidMS

National Provider Directory

National Provider Directory

Locations

511 S Davis Ave
Cleveland, MS 38732
Phone (662) 441-0610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1124713268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387320342",
            "telephone_number": "662-441-0061",
            "fax_number": "662-441-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 S DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323924",
            "telephone_number": "662-441-0610",
            "fax_number": "662-441-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS FOR CHANGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TRAYCEEA",
        "authorized_official_title_or_position": "LICENSED CERTIFIED SOCIAL WORKER",
        "authorized_official_telephone_number": "662-588-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02275296",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.