Change of Thought Intergrated Health Solutions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12683 Issued in NM

Legal business name

CHANGE OF THOUGHT INTERGRATED HEALTH SOLUTIONS

Practice address

205 W Boutz Rd BLDG 4
Suite 3
Las Cruces, NM 88005-3259

Phone

(575) 649-5898

Fax

(575) 652-4555

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Mark T Williams, LISW

Title

Clinical Director

Phone

(575) 649-5898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1427463694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD BLDG 4",
            "address_2": "SUITE 3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-649-5898",
            "fax_number": "575-652-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD BLDG 4",
            "address_2": "SUITE 3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-649-5898",
            "fax_number": "575-652-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE OF THOUGHT INTERGRATED HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "575-649-5898",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "12683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Chandler, LMHC
• Anandjeet Chandpuri
• Andrew Chaney
• Ren Chang
• Change of Heart Behavior Services LLC
• Patricia Vanessa Chaparro, RDH
• Susan 'Christy' Christine Chapman, RN, BSN
• Charles D. Collins, MD, Facs
• Charlie Mike Base Camp (Charlie Mike)
• Charlotte's Fashions, LLC

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.