NPI 1306079587 · live from the CMS NPI Registry
A Time To Change Counseling Center
Social Worker, Clinical in Crawfordville, FL. National Provider Identifier 1306079587, active.
NPI record
| NPI | 1306079587 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2140 Crawfordville Hwy, Suite B, Crawfordville, FL 32327 |
| Practice phone | 850-926-1900 |
| Enumerated | September 3, 2009 |
| Last updated | September 3, 2009 |
| Authorized official | Sabrina Joiner, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.