Lasting Changes, LLC
Counselor, Mental Health in Pitman, NJ. Organization (NPI-2).
NPI number1043016751
StatusActive
Last updated in NPPESFeb 22, 2025
Details
- NPI
- 1043016751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lasting Changes, LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2025
- Certification date
- Feb 22, 2025
- Last updated
- Feb 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
152 Wildwood AvePitman, NJ 08071-1543
Phone 503-881-9912
Mailing address
152 Wildwood AvePitman, NJ 08071-1543
Phone 503-881-9912
Authorized official
Stuart Lynd
Owner
5038819912
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