THE INITIATIVE FOR CHANGE AND DEVELOPMENT


Address: 1146 Willow Creek Dr, La Porte, TX 77571-2711
Phone: 8329643849

THE INITIATIVE FOR CHANGE AND DEVELOPMENT (NPI# 1184023970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184023970
Entity Type Organization
Organization Name THE INITIATIVE FOR CHANGE AND DEVELOPMENT
Practice Address 1146 Willow Creek Dr
La Porte
TX 77571-2711
Mailing Address 1146 Willow Creek Drive
La Porte
TX 77571
Practice Telephone 8329643849
Mailing Telephone 8329643849
Enumeration Date 2014-08-18
Last Update Date 2014-08-18
Authorized Official Name ALAN BLACKSHEAR (DIRECTOR)
Authorized Official Telephone 8329643849
Authorized Official Credential LCDC, CART, COPS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 11387 TX Agencies

Office Location

Street Address 1146 WILLOW CREEK DR
City LA PORTE
State TX
Zip Code 77571-2711

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1336454719 Keys Counseling, Inc Community/Behavioral Health 245 W Johnson Rd, Suite 9, La Porte, IN 46350-2026 2010-08-10

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1881292738 Actus Behavioral Support LLC Community/Behavioral Health 6213 Smithwick Dr, Mckinney, TX 75070-3573 2020-10-13
1083211387 Crescent Behavioral Health, LLC Community/Behavioral Health 202 W Park Place Dr, Lancaster, TX 75134-3250 2020-10-08
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1376150839 Victoria Behavioral Services Clinic LLC Community/Behavioral Health 16205 Westheimer Rd Ste 100, Houston, TX 77082-1207 2020-09-29
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1659987071 Committed 2 Me Counseling Center, LLC Community/Behavioral Health 105 E. Blackbourn, Hawkins, TX 75765 2020-09-21
1205441383 Lei Behavioral Services, LLC Community/Behavioral Health 6201 Bonhomme Rd # She266n, Houston, TX 77036-4365 2020-09-15
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Competitor

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City LA PORTE
Zip Code 77571

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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