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THE CENTER FOR CHANGE LLC NPI 1689142945


NPI Information

NPI: 1689142945
Provider Name: THE CENTER FOR CHANGE LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
4535 W RUSSELL RD STE 15
LAS VEGAS, NV
ZIP 89118
Phone: (702) 368-2380
Get Directions

THE CENTER FOR CHANGE LLC is a clinical psychologist in Las Vegas, NV. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. THE CENTER FOR CHANGE LLC NPI is 1689142945. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4535 W RUSSELL RD STE 15
LAS VEGAS, NV
ZIP 89118-258
Phone: (702) 368-2380
Fax: (702) 368-2380

The provider's authorized official is Morgan Rodriguez .
The authorized official title is Manager and has the following contact phone number (702) 945-8846.

The enumeration date for this NPI number is 11/5/2018 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TC0700XPsychologistClinicalYes
5103TC2200XPsychologistClinical Child & AdolescentNo
6106H00000XMarriage & Family TherapistNo
7103K00000XBehavior AnalystNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.