MOMENT OF CHANGE COUNSELING SERVICES, PLLC (NPI# 1972123487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972123487 |
| Entity Type | Organization |
| Organization Name | MOMENT OF CHANGE COUNSELING SERVICES, PLLC |
| Practice Address |
943 W Andrews Ave Ste P Henderson NC 27536-2587 |
| Practice Telephone | 2523209903 |
| Mailing Telephone | 2523209903 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | JAMIE WASHINGTON (DIRECTOR) |
| Authorized Official Telephone | 2523209903 |
| Authorized Official Credential | LCMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6103107 | 05 |
| Street Address |
943 W ANDREWS AVE STE P |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699832857 | Camilla Rogers | Psychologist | 943 W Andrews Ave Ste P, Henderson, NC 27536-2587 | 2007-01-03 |
| 1043414980 | The Clinical Evaluation and Resource Center, Pllc | Psychologist | 943 W Andrews Ave Ste P, Henderson, NC 27536-2587 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252730 | Malka Moskowitz | Counselor | 2520 Saint Rose Pkwy Ste 108, Henderson, NV 89074-7784 | 2020-10-09 |
| 1851924567 | Ellen Francine Fields | Counselor | 2169 Eagle Sticks Dr, Henderson, NV 89012-2538 | 2020-02-20 |
| 1821628199 | Lifestyle Overhaul, LLC | Counselor | 98 E Lake Mead Pkwy Ste 201, Henderson, NV 89015-6443 | 2020-01-24 |
| 1518445345 | Renee Marie Woodring | Counselor | 2298 W Horizon Ridge Pkwy Ste A&201b, Henderson, NV 89052-2696 | 2018-08-02 |
| 1861927717 | Christanne Brunner | Counselor | 295 Angela Ln, Henderson, TX 75654-6717 | 2017-04-28 |
| 1568825487 | Cinda Katherine Gee | Counselor | 2495 Enville Rd, Henderson, TN 38340-3965 | 2016-03-29 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1831431592 | Tamara L Harris | Counselor | 1021 Mocha Mattari St, Henderson, NV 89052 | 2013-03-20 |
| 1356616262 | Wishing Well Child and Family Therapy LLC | Counselor | 1798 Bridlegate Ave, Henderson, NV 89012-3253 | 2012-03-12 |
| 1053626481 | Kent Dail | Counselor | 2360 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-5082 | 2010-08-10 |
| Find all providers in HENDERSON | ||||
Please comment or provide details below to improve the information on MOMENT OF CHANGE COUNSELING SERVICES, PLLC.
| 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.