Organization Active NPI

Changing Life Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethlehem, PA
National Provider Identifier
1225499643
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 11, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.