Changing Minds Mental Health Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHANGING MINDS MENTAL HEALTH SERVICES LLC

Practice address

12750 S Saginaw St Ste 203
Grand Blanc, MI 48439-1841

Phone

(810) 610-9164

Fax

(810) 746-5050

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Pamala Kay Davis, MA LPCNPI 1396024352

Title

Licensed Professional Counselor/Own

Phone

(810) 610-9164

Specialties & licenses 1

Addresses

Other names 1

• Changing Minds Mental Health Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamala K Davis, LLPC

  • Professional Counselor
  • Flint, MI
  • NPI 1396024352
  NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1144788951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 MUNSON ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091836",
            "telephone_number": "810-610-9164",
            "fax_number": "810-746-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 S SAGINAW ST STE 203",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391841",
            "telephone_number": "810-610-9164",
            "fax_number": "810-746-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING MINDS MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/OWN",
        "authorized_official_telephone_number": "810-610-9164",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Minds Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centric Physical and Occupational Therapy Services,Inc
• Oumaima Chaib, MD
• Krysten Chamberlain, LMSW
• Eileen Chang, DO
• Patrick Chang, MD
• Michael James Chapman, D.O.
• Amanda Chappel
• Bradley Paul Chappell, DO, MHA
• Maya Louise Chappell
• Timothy Charles

• Professional Counselor in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.