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The Life Change Center
Substance Use Disorder Rehabilitation Clinic/Center in Reno, Nevada
NPI 1922056415

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 Reno, NV. The NPI Number for The Life Change Center is 1922056415 and holds a License No. 138101 (Nevada).

The current practice location address for The Life Change Center is 130 Vine St, Reno, NV and can be reached out via phone at 775-499-5534 and via fax at 775-355-7759.

Location: 130 Vine St, Reno, NV, 89431-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922056415
Provider Name
The Life Change Center
Credential
Provider Entity Type
Organization
Address
130 Vine St, Reno, NV, 89431-2815
Phone Number
775-499-5534
Fax Number
775-355-7759
Provider Enumeration Date
05/05/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001716006 05 NV
institution
Provider Business Practice Location Address Details
Address
130 Vine St
City
Reno
State
Nevada
Zip
89503-5546
Phone Number
775-499-5534
Fax Number
775-355-7759
person
Provider Business Mailing Address Details
Address
130 Vine St
City
Reno
State
Nevada
Zip
89503-5546
Phone Number
775-499-5534
Fax Number
775-355-7759
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.
138101 (Nevada)
Definition
Definition to come...
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