CHANGE YOUR WORLD MENTAL HEALTH AGENCY
NPI 1720476906
Counselor - Mental Health in Jackson, MS

Q: What is Change Your World Mental Health Agency's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since December 23, 2014

4807 N STATE ST STE 401, JACKSON, MS 39206(601) 316-6163 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Change Your World Mental Health Agency NPPES

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

CHANGE YOUR WORLD MENTAL HEALTH AGENCY (NPI 1720476906) is a healthcare organization registered as a mental health in Jackson, Mississippi and active in the NPI registry since December 2014. The organization lists Shirley Daniels, Owner, as its authorized official.

NPPES Registry Identity

NPI1720476906

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCHANGE YOUR WORLD MENTAL HEALTH AGENCY

Location Address4807 N STATE ST STE 401Jackson, MS 39206-4826

Mailing Address4807 N State St Ste 401Jackson, MS 39206-4826 · (601) 316-6163

Phone(601) 316-6163

Organization SubpartNo

Authorized OfficialShirley DanielsOwner · (601) 316-6163

Enumeration DateDecember 23, 2014

✔ NPI 1720476906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

4807 N STATE ST STE 401, Jackson, MS 39206

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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

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 Your World Mental Health Agency's NPI number?

The NPI number for Change Your World Mental Health Agency is 1720476906. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Change Your World Mental Health Agency located?

Change Your World Mental Health Agency is located at 4807 N State St Ste 401, Jackson, MS 39206. The listed phone number is (601) 316-6163.

What is Change Your World Mental Health Agency's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Change Your World Mental Health Agency was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.