CHANGE AGENTS OF SOCIAL SERVICES

Community/Behavioral Health

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.

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Contact Information

CHANGE AGENTS OF SOCIAL SERVICES

840 CANTON GRASS LN
LA MARQUE, TX 77568-1007

Phone: 702-305-0652
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Behavioral Health	251S00000X
Behavior Analyst	103K00000X
Case Manager/Care Coordinator	171M00000X
Day Traning/Habilitation Specialist	373H00000X
Early Intervention Provider Agency	252Y00000X
Mental Health	101YM0800X
Psychiatric/Mental Health	363LP0808X	50	Nurse Practitioner
Social Worker	104100000X

Indicates primary specialty

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NPI Profile & details for CHANGE AGENTS OF SOCIAL SERVICES

NPI #	`1902662984`
LBN Legal business name	CHANGE AGENTS OF SOCIAL SERVICES
Authorized official	JADEN HINES - (CHIEF EXECUTIVE OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/26/2024
Last updated	02/26/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHANGE AGENTS OF SOCIAL SERVICES

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Specialty

NPI Profile & details for CHANGE AGENTS OF SOCIAL SERVICES

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