Change Unlimited LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Beachwood, OH. Organization (NPI-2).
NPI number1740811231
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1740811231
- Entity type
- Organization (NPI-2)
- Legal business name
- Change Unlimited LLC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
3659 Green Rd Ste 322-11Beachwood, OH 44122-5727
Phone 216-905-0099
Mailing address
13940 Cedar Rd # 348University Heights, OH 44118-3204
Phone 216-905-0099
Authorized official
Jessica Mccullough
Nurse Practitioner
2169050099
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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