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AWESOME ANGELS OF CHANGE LLC
NPI 1497229926
Clinic/Center - Developmental Disabilities in Lakeland, FL

Active since January 17, 2019
3909 SANDHILL CRANE DR, LAKELAND, FL 33811(863) 617-5840 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Awesome Angels Of Change Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWESOME ANGELS OF CHANGE LLC (NPI 1497229926), doing business as Aac, is a healthcare organization registered as a developmental disabilities in Lakeland, Florida and active in the NPI registry since January 2019. The organization lists Shacoya Montgomery, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497229926
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameAWESOME ANGELS OF CHANGE LLC
Location Address3909 SANDHILL CRANE DRLakeland, FL 33811-1862
Mailing Address3909 Sandhill Crane DrLakeland, FL 33811-1862
Phone(863) 617-5840
Organization SubpartNo
Authorized OfficialShacoya MontgomeryCeo · (863) 617-5840
Enumeration DateJanuary 17, 2019
✔ NPI 1497229926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
3909 SANDHILL CRANE DR, Lakeland, FL 33811
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Other Names 1

Former Legal Business NameAac

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHACOYA MONTGOMERY
Clinic/Center (Developmental Disabilities)
3909 SANDHILL CRANE DR
LAKELAND, FL 33811
Polk County (863) 617-5840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Awesome Angels Of Change LLC's NPI number?

The NPI number for Awesome Angels Of Change LLC is 1497229926. It was assigned to this organization in the NPPES registry on January 17, 2019. The provider was formerly known as Aac.

Where is Awesome Angels Of Change LLC located?

Awesome Angels Of Change LLC is located at 3909 Sandhill Crane Dr, Lakeland, FL 33811. The listed phone number is (863) 617-5840.

What is Awesome Angels Of Change LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Awesome Angels Of Change LLC was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.