True Leaders of Change Consulting Services,LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

A-5822-0001-A Issued in IL

Legal business name

TRUE LEADERS OF CHANGE CONSULTING SERVICES,LLC

Practice address

2436 W. 59TH St.
Chicago, IL 60629

Phone

(773) 459-6452

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Arthur Johnson, CADC, CAM1

Title

Director

Phone

(773) 459-6452

Specialties & licenses 1

Addresses

Other names 1

• TRUE LEADERS OF CHANGE CONSULTING SERVICES, LLC Doing business as

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1235480500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 W 59TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291136",
            "telephone_number": "773-459-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 W. 59TH ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60629",
            "telephone_number": "773-459-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE LEADERS OF CHANGE CONSULTING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-459-6452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC, CAM1"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "A-5822-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUE LEADERS OF CHANGE CONSULTING SERVICES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Early Intervention Provider Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.