Active NPI
Be the Change Clinic LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Renton, WA
National Provider Identifier
1730030990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BE THE CHANGE CLINIC LLC
- Practice address
- 540 S 50TH St Unit B
Renton, WA 98055-8316 - Phone
- (619) 410-7137
- NPI assigned
- Feb 4, 2026
- Last updated
- Feb 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmed Khalif
- Title
- Ceo
- Phone
- (619) 410-7137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
540 S 50TH St Unit B
Renton, WA 98055-8316
Mailing address
540 S 50TH St Unit B
Renton, WA 98055-8316
Phone (619) 410-7137
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1730030990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 S 50TH ST UNIT B",
"city": "RENTON",
"state": "WA",
"postal_code": "980558316",
"telephone_number": "619-410-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S 50TH ST UNIT B",
"city": "RENTON",
"state": "WA",
"postal_code": "980558316",
"telephone_number": "619-410-7137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE THE CHANGE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-04",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "KHALIF",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-410-7137"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.