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

Change Agents of Social Services LLC

Organization Mental Health Counselor · NPI 1598506669

Change Agents of Social Services LLC is a Mental Health Counselor in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4717 E McDowell Rd
Phoenix, AZ 85008-4544
Phone: (702) 305-0562
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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
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1598506669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaden Hines — Administrator · (702) 305-0652
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address4717 E McDowell Rd, Phoenix, AZ 85008-4544

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