Phases of Change PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHASES OF CHANGE PLLC

Practice address

660 Yorktown St Apt 2205
Dallas, TX 75208-2070

Phone

(773) 240-0654

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Keeayla S Jones, LCSW

Title

Therapist

Phone

(773) 240-0654

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.

• Keeayla S Wilhite, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1063218113
  NPD

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1659177707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N AKARD ST # 1035",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013503",
            "telephone_number": "773-240-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 YORKTOWN ST APT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082070",
            "telephone_number": "773-240-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Armand Dr Apt 204",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381038953",
            "country_code": "US",
            "telephone_number": "773-240-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHASES OF CHANGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEEAYLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-240-0654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Herbert A. Phelan, MD
• Hillary Michelle Phelan, PA-C

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.