Greater Changes LLC.

Organization Active NPI Mental Health Counselor · Frederiksted, VI

NPI 1497210256 · NPPES record last updated Feb 6, 2019

Key facts

NPI
1497210256
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
GREATER CHANGES LLC.
Practice address
40 Eg Lagrange
Frederiksted, VI 00841-0084
Phone
(340) 332-2717
NPI assigned
Feb 6, 2019
Organization subpart
No

Authorized official

Name
Tarik Malachi McMillan, M.S.ED
Title
Owner
Phone
(340) 332-2717

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Greater Changes LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

40 Eg Lagrange
Frederiksted, VI 00841-0084

Mailing address

PO Box 411
Christiansted, VI 00821-0411
Phone (340) 332-2717

Other identifiers

IdentifierTypeStateIssuer
2-43354-1LOtherVIVIRGIN ISLANDS DEPARTMENT OF LICENSING AND CONSUMER AFFAIRS

Other providers in Frederiksted, VI

All providers in Frederiksted, VI · Mental Health Counselor in U.S. Virgin Islands

Sources for this page

Verify at the official NPI Registry.