Meaningful Change: Clinical & Consultation Psychology, PLLC
Psychologist, Clinical in Mount Pleasant, MI. Organization (NPI-2).
Details
- NPI
- 1881292076
- Entity type
- Organization (NPI-2)
- Legal business name
- Meaningful Change: Clinical & Consultation Psychology, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2020
- Certification date
- Oct 18, 2025
- Last updated
- Oct 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
1414 W High St Ste AMount Pleasant, MI 48858-3065
Phone 989-824-6565 · Fax 833-647-2020
Mailing address
1414 W High St Ste AMount Pleasant, MI 48858-3065
Phone 989-824-6565 · Fax 833-647-2020
Authorized official
Daham Raul Sol
Director/Owner
9898246565
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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