Organization · NPI-2

A Couch For Change, PLLC

Counselor, Professional · Fargo, ND

NPI number1063195683
StatusActive
Last updated in NPPESJun 8, 2024

Details

NPI
1063195683
Entity type
Organization (NPI-2)
Legal business name
A Couch For Change, PLLC
Organization subpart
No
Enumeration date
Aug 10, 2023
Certification date
Mar 17, 2024
Last updated
Jun 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

5147 44th St S
Fargo, ND 58104-6069

Phone 701-353-5092

Mailing address

3552 47th Ave S
Fargo, ND 58104-7737

Authorized official

Tarah E Cavett
Counselor/Owner
7013735092

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