A Change Counseling Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

27125700 Issued in WA

Legal business name

A CHANGE COUNSELING CENTER

Practice address

4002 S M St
Suite C
Tacoma, WA 98418-3800

Phone

(253) 473-1844

Fax

(928) 708-9620

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By 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

John Ledoux

Title

Facility Coordinator

Phone

(982) 708-9615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1881084473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S M ST",
            "address_2": "SUITE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984183800",
            "telephone_number": "253-473-1844",
            "fax_number": "928-708-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S M ST",
            "address_2": "SUITE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984183800",
            "telephone_number": "253-473-1844",
            "fax_number": "928-708-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "LEDOUX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FACILITY COORDINATOR",
        "authorized_official_telephone_number": "982-708-9615"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "27125700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1978)
• 2 Hands Studio, LCC
• 4755 South 48TH Street Operations LLC (Orchard Park Health Care and Rehabilitation Center)
• 6TH Avenue Senior Living, LLC
• A Better Type of Homecare
• A Change Counseling Center Inc.
• A Communication Space PLLC
• A League of Action Community Development Corporation (Special's Foundation)
• A People of Prosperity
• A Puget Sound Massage Clinic, LLC (Puget Sound Massage)

• Substance Use Disorder Rehabilitation Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.