Living Changes Therapies
Social Worker, Clinical in Malvern, PA. Organization (NPI-2).
NPI number1083320006
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1083320006
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Changes Therapies
- Organization subpart
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
5 Great Valley Pkwy Ste 210Malvern, PA 19355-1426
Phone 804-822-5529
Mailing address
468 Crescent DrWest Chester, PA 19382-8256
Authorized official
Paul Duncan Gushurst
Psychotherapist
8048225529
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