Active NPI
Changing Life Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethlehem, PA
National Provider Identifier
1225499643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CHANGING LIFE COUNSELING CENTER
- Practice address
- 865 E 4TH St
Bethlehem, PA 18015-1935 - Phone
- (610) 674-1037
- NPI assigned
- Mar 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brunilde Costantino
- Title
- Owner Partner
- Phone
- (484) 602-6811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
865 E 4TH St
Bethlehem, PA 18015-1935
Mailing address
PO Box 5427
Bethlehem, PA 18015-0427
Phone (610) 674-1037
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457654400000",
"number": "1225499643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5427",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180150427",
"telephone_number": "610-674-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 E 4TH ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151935",
"telephone_number": "610-674-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING LIFE COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-11",
"last_updated": "2016-03-11",
"status": "A",
"authorized_official_last_name": "COSTANTINO",
"authorized_official_first_name": "BRUNILDE",
"authorized_official_title_or_position": "OWNER PARTNER",
"authorized_official_telephone_number": "484-602-6811"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.