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THE LIFE CHANGE CENTER NPI 1073978151


NPI Information

NPI: 1073978151
Provider Name: THE LIFE CHANGE CENTER
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1201 N STEWART ST STE 120
CARSON CITY, NV
ZIP 89706
Phone: (775) 350-7250
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THE LIFE CHANGE CENTER is an addiction (substance use disorder) psychologist in Carson City, NV. The provider is 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. THE LIFE CHANGE CENTER NPI is 1073978151. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 N STEWART ST STE 120
CARSON CITY, NV
ZIP 89706-004
Phone: (775) 350-7250
Fax: (775) 461-3570

The provider's authorized official is Ryan Zeller .
The authorized official title is Medical Director and has the following contact phone number (775) 499-5534.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)8312NTC-0NEVADAYes

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: 11/14/2023

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