| NPI | 1821653239 |
|---|---|
| Doing Business As | THERAPEUTIC CHANGE PLLC |
| Entity Type | Organization |
| Authorized Contact | SUMMER LYN BROWN Owner/ Clinician 360-602-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |