Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Change Agents of Social Services

Organization Mental Health Counselor · NPI 1902662984

Change Agents of Social Services is a Mental Health Counselor in LA Marque, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8

Practice location Address checks out

840 Canton Grass Ln
LA Marque, TX 77568-1007
Phone: (702) 305-0652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1902662984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaden Hines — Chief Executive Officer · (702) 305-0652
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address840 Canton Grass Ln, La Marque, TX 77568-1007

Other providers in LA Marque