National Provider Identifier Database

COLLABORATIVE CHANGES COUNSELING LLC
Professional


Contact Information

COLLABORATIVE CHANGES COUNSELING, LLC
4648 SW 57TH CT
GAINESVILLE, FL32608-0178
Phone: 352-246-7088
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for COLLABORATIVE CHANGES COUNSELING, LLC

NPI Number 1073499331
Legal business name
LBN
COLLABORATIVE CHANGES COUNSELING, LLC
Authorized official JASON DUENAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/13/2025
Last updated 08/13/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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