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CHANGE AGENTS OF SOCIAL SERVICES LLC
NPI 1598506669
Community/Behavioral Health in Phoenix, AZ

Active since June 03, 2024
4717 E MCDOWELL RD, PHOENIX, AZ 85008(702) 305-0562 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Change Agents Of Social Services Llc NPPES

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

CHANGE AGENTS OF SOCIAL SERVICES LLC (NPI 1598506669) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since June 2024. The organization lists Jaden Hines, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598506669
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGE AGENTS OF SOCIAL SERVICES LLC
Location Address4717 E MCDOWELL RDPhoenix, AZ 85008-4544
Mailing Address4717 E Mcdowell RdPhoenix, AZ 85008-4544 · (702) 305-0562
Phone(702) 305-0562
Organization SubpartNo
Authorized OfficialJaden HinesAdministrator · (702) 305-0652
Enumeration DateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1598506669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
4717 E MCDOWELL RD, Phoenix, AZ 85008
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

DESTINY LYNNE JOHNSON
Behavior Technician
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (623) 283-4830
MARI'YELL DECLOUETTE-SANDERS
Behavior Technician
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 472-3085
MR. ROBERT JAMES BUNN JR.
Behavior Technician
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (623) 283-4830
EDWARD BROWN
Behavior Technician
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 472-3085
MR. THURMAN TY TOLBERT JR.
Behavior Technician
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (623) 283-4830
MS. KARAYAN CRIGLER
Counselor (Mental Health)
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (252) 266-1478
MR. RANDY PARRETT JR.
Behavior Technician
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (602) 472-3085
GREEN APPLE HEALTH SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4717 E MCDOWELL RD
PHOENIX, AZ 85008
Maricopa County (252) 266-1478

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 Change Agents Of Social Services LLC's NPI number?

The NPI number for Change Agents Of Social Services LLC is 1598506669. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Change Agents Of Social Services LLC located?

Change Agents Of Social Services LLC is located at 4717 E Mcdowell Rd, Phoenix, AZ 85008. The listed phone number is (702) 305-0562.

What is Change Agents Of Social Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Change Agents Of Social Services LLC was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.