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Contact Information

COLLABORATIVE CHANGES COUNSELING, LLC
4648 SW 57TH CT
GAINESVILLE, FL32608-0178
 Phone: 352-246-7088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for COLLABORATIVE CHANGES COUNSELING, LLC

NPI # 1073499331
LBN Legal business name COLLABORATIVE CHANGES COUNSELING, LLC
Authorized official JASON DUENAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2025
Last updated 08/13/2025 - About 10 months 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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