Change Awaits You, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C007264 Issued in NC

Legal business name

CHANGE AWAITS YOU, PLLC

Practice address

7417 Knightdale Blvd
Suite 108
Knightdale, NC 27545-8824

Phone

(919) 426-6030

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Raven Neal, LCSW

Title

Mental Health Therapist

Phone

(919) 426-6030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1982970331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275880964",
            "telephone_number": "919-426-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KNIGHTDALE BLVD",
            "address_2": "SUITE 108",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458824",
            "telephone_number": "919-426-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE AWAITS YOU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "919-426-6030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C007264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.