Changing Faces LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHANGING FACES LLC

Practice address

4 Dexter St
Windsor, CT 06095-4410

Phone

(860) 201-3688

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nichole Mayweather-Banks, LCSWNPI 1578196739

Title

Owner

Phone

(860) 201-3688

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nichole Mayweather-Banks, LCSW

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1578196739
  NPD Authorized official

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1487368395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954410",
            "telephone_number": "860-201-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEXTER ST",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954410",
            "telephone_number": "860-201-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING FACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "MAYWEATHER-BANKS",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-201-3688",
        "authorized_official_credential": "LCSW"
    },
    "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": []
}

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• Scott Chaires
• Catherine Chalder, BCBA, LBA
• Kate Chambers
• Mara Chase
• Chasing Clarity Clinical Services
• Cherry Brook Health Care Center (New Horizon)
• Karen Chevalier, MSPT
• Children's Therapy Specialists

• Mental Health Clinic/Center (Including Community Mental Health Center) in Windsor, CT
• Providers in Windsor, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.