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The Life Change Center
Substance Use Disorder Rehabilitation Clinic/Center in Sparks, Nevada
NPI 1205389129

The Life Change Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Sparks, NV and is specialized in Rehabilitation, Substance Use Disorder. The Life Change Center practices in Sparks, NV. The NPI Number for The Life Change Center is 1205389129 and holds a License No. 8312NTC-01 (Nevada).

The current practice location address for The Life Change Center is 1755 Sullivan Ln, Sparks, NV and can be reached out via phone at 775-499-5534 and via fax at 775-499-5535.

Location: 1755 Sullivan Ln, Sparks, NV, 89431-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205389129
Provider Name
The Life Change Center
Credential
Provider Entity Type
Organization
Address
1755 Sullivan Ln, Sparks, NV, 89431-2815
Phone Number
775-499-5534
Fax Number
775-499-5535
Provider Enumeration Date
07/27/2016
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1755 Sullivan Ln
City
Sparks
State
Nevada
Zip
89431-2815
Phone Number
775-499-5534
Fax Number
775-499-5535
person
Provider Business Mailing Address Details
Address
1755 Sullivan Ln
City
Sparks
State
Nevada
Zip
89431-2815
Phone Number
775-499-5534
Fax Number
775-499-5535
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
8312NTC-01 (Nevada)
Definition
Definition to come...
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