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Change Your Life Enterprises, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Wichita, Kansas
NPI 1003895988

Change Your Life Enterprises, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Wichita, KS and is specialized in Rehabilitation, Substance Use Disorder. Change Your Life Enterprises, Inc. practices in Wichita, KS. The NPI Number for Change Your Life Enterprises, Inc. is 1003895988 and holds a License No. (Kansas).

The current practice location address for Change Your Life Enterprises, Inc. is 9505 W. Central, Wichita, KS and can be reached out via phone at 316-721-0971 and via fax at 316-512-4070.

Location: 9505 W. Central, Wichita, KS, 67212-3832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003895988
Provider Name
Change Your Life Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
9505 W. Central, Wichita, KS, 67212-3832
Phone Number
316-721-0971
Fax Number
316-512-4070
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
565012 05 KS
institution
Provider Business Practice Location Address Details
Address
9505 W. Central
City
Wichita
State
Kansas
Zip
67212-3832
Phone Number
316-721-0971
Fax Number
316-512-4070
person
Provider Business Mailing Address Details
Address
9505 W. Central
City
Wichita
State
Kansas
Zip
67212-3832
Phone Number
316-721-0971
Fax Number
316-512-4070
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
547 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
1949 (Kansas)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
(Kansas)
Definition
Definition to come...
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