Change Happens Counseling Center, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M7339 Issued in MS

Legal business name

CHANGE HAPPENS COUNSELING CENTER, LLC

Practice address

110 Cypress Rd
Byram, MS 39272-6046

Phone

(601) 316-0951

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Tissan Jackson

Title

Owner

Phone

(601) 316-0951

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1154700748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CYPRESS RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726046",
            "telephone_number": "601-316-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CYPRESS RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726046",
            "telephone_number": "601-316-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE HAPPENS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TISSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-316-0951"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M7339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Byram, MS
• Providers in Byram, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.