Constructive Changes Licensed Clinical Social Worker Services
Constructive Changes Licensed Clinical Social Worker Services is a Community/Behavioral Health Agency in Champaign, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
44 E Main St Ste 406Champaign, IL 61820-3649
Phone: (217) 615-0350
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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 |
|---|
Record details
| NPI number | 1417630757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alex Quintanilla — Owner · (217) 615-0350 |
| NPI enumerated | August 14, 2023 |
| Last updated in NPPES | August 14, 2023 |
| Certification date | July 14, 2023 |
| Mailing address | 1717 W Kirby Ave Unit 306, Champaign, IL 61821-5507 |
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