NPI
Change Agents of Social Services
NPI 1902662984
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-02-26
- Last updated
- 2024-02-26
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Specialties
- 251S00000XCommunity/Behavioral Health · Primary
- 101YM0800XCounselor, Mental Health
- 103K00000XBehavior Analyst
- 104100000XSocial Worker
- 171M00000XCase Manager/Care Coordinator
- 252Y00000XEarly Intervention Provider Agency
- 363LP0808XNurse Practitioner, Psych/Mental Health
- 373H00000XDay Training/Habilitation Specialist
Licenses
The registry row did not include a license.
Location
- Practice location
- 840 Canton Grass Ln
- City
- La Marque TX
- Postal code
- 77568-1007
- Phone
- (702) 305-0652
Organization contact
- Name
- Jaden Hines
- Title
- Chief Executive Officer
- Phone
- (702) 305-0652
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in La Marque, TX. 139 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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