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

Organization Counselor · NPI 1902135692

Change and Development Institute, LLC is a Counselor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
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

8123 January Ave
Saint Louis, MO 63134-1513
Phone: (314) 680-8179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 2007036005 (MO)

Record details

NPI number1902135692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Carroll — President · (314) 680-8179
NPI enumeratedDecember 9, 2009
Last updated in NPPESDecember 9, 2009
Mailing address8123 January Ave, Saint Louis, MO 63134-1513

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