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Active NPI 1790116093 Organization (Entity Type 2)

Changes

Community/Behavioral Health • Palm Bay, FL

About Changes NPI 1790116093 Summary

Changes is a verified healthcare organization specializing in Community/Behavioral Health operating in Palm Bay, FL. Located at 1156 LAMPLIGHTER DR NW, this facility provides patient care and medical services under National Provider Identifier (NPI) 1790116093.

Administrative operations and authorized compliance are overseen by Rolland Nicolas (Clinician).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1156 Lamplighter Dr Nw

Palm Bay, FL 329077936

Telephone 3215913248

Authorized Official Information

Authorized Contact Name

Rolland Nicolas , MSW

Title / Role

Clinician

Official Telephone

3215913248

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Social Worker

Palm Bay, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2013

Registered at 1156 LAMPLIGHTER DR NW, PALM BAY, FL 329077936 (Tel: 3215913248)

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Updated Business Mailing Address December 11, 2013

Registered at 1156 LAMPLIGHTER DR NW, PALM BAY, FL 329077936 (Tel: 3215913248)

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Organization / Clinic Name Updated December 11, 2013

Operating as CHANGES

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2013

Community/Behavioral Health

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Initial NPI Registration & Enumeration December 11, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1790116093
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 11, 2013
Last Update: December 11, 2013

Mailing Address

1156 Lamplighter Dr Nw

Palm Bay, FL 329077936

Phone: 3215913248

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.