THE LIFE CHANGE CENTER NPI 1841743762

NPI Information

  • NPI: 1841743762
  • Provider Name: THE LIFE CHANGE CENTER
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1201 N STEWART ST STE 120
    CARSON CITY, NV
    ZIP 89706
  • Phone: (775) 350-7250

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NPI Details

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 1841743762. 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) 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) 499-5534.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)8312NTC-01NEVADAYes
2261QM2800XClinic/CenterMethadoneNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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This page was last updated on: 11/21/2025

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