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Contact Information

CATALYST FOR CHANGE LLC
2101 PARK CENTER DRIVE
SUITE 270
ORLANDO, FL32835
 Phone: 407-523-1213
 Fax: 407-523-2398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CATALYST FOR CHANGE LLC

NPI Number 1093892671
LBN Legal business name CATALYST FOR CHANGE LLC
Authorized official SAMIA HUSNI - (OWNER REGISTERED AGEWNT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # PY5826
FL Other 51415 BCBS
FL Other 21491 BCBS GROUP
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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