Provider Demographics
NPI:1033081955
Name:BE THE CHANGE, LLC
Entity type:Organization
Organization Name:BE THE CHANGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUMOFF
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:971-600-2217
Mailing Address - Street 1:116 3RD ST STE 210
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2193
Mailing Address - Country:US
Mailing Address - Phone:503-827-3644
Mailing Address - Fax:971-254-1334
Practice Address - Street 1:116 3RD ST STE 210
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2193
Practice Address - Country:US
Practice Address - Phone:503-827-3644
Practice Address - Fax:971-254-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty