Cluster Of Life Changes LLC
Social Worker, Clinical in Keller, TX. Organization (NPI-2).
NPI number1821752833
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1821752833
- Entity type
- Organization (NPI-2)
- Legal business name
- Cluster Of Life Changes LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Cluster Of Life Changes (Doing Business As)
Practice location
300 N Rufe Snow DrKeller, TX 76248-4235
Phone 254-289-2285 · Fax 682-593-3936
Mailing address
2001 Sterling Trace DrKeller, TX 76248-9740
Phone 254-289-2285 · Fax 682-593-3936
Other practice locations
5424 Rufe Snow Dr Ste 300
North Richland Hills, TX 76180-6684
North Richland Hills, TX 76180-6684
Phone 254-289-2285 · Fax 682-593-3936
Authorized official
Carnesha L Collins
Ceo
2542892285
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