THE LIFE CHANGE CENTER NPI 1205389129

NPI Details

THE LIFE CHANGE CENTER is an addiction (substance use disorder) psychologist in Sparks, 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 1205389129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1755 SULLIVAN LN
SPARKS, NV
ZIP 89431-815
Phone: (775) 499-5534
Fax: (775) 499-5535

The provider's authorized official is John Firestone .
The authorized official title is Executive Director and has the following contact phone number (775) 842-7436.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 7/27/2016 and was last updated on 6/17/2024.

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: