NPI 1093892671

Catalyst for Change LLC

Organisation Psychologist Orlando, FL

Practice location

Address: 2101 Park Center Drive Suite 270, Orlando, FL 32835
Phone: (407) 523-1213
Fax: (407) 523-2398
Mailing address: 4114 Shade Tree Loop STE 90, Orlando, FL 32810

Authorised official

Name: Samia Husni
Title: Owner Registered Agewnt
Phone: (407) 968-6723

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PY5826 (FL)

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Registry record

NPI: 1093892671
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.