Organization · NPI-2

A Change In You Wellness Center

Substance Abuse Rehabilitation Facility · Las Vegas, NV

NPI number1013715077

StatusActive

Last updated in NPPESApr 2, 2025

Details

NPI: 1013715077
Entity type: Organization (NPI-2)
Legal business name: A Change In You Wellness Center
Organization subpart: No
Enumeration date: Mar 5, 2025
Certification date: Apr 2, 2025
Last updated: Apr 2, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
324500000X	Substance Abuse Rehabilitation Facility	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–
163WA0400X	Registered Nurse, Addiction (Substance Use Disorder)	–	–
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
251S00000X	Community/Behavioral Health	–	–

Practice location

732 S 6th St Ste 4459
Las Vegas, NV 89101-6948

Phone 469-584-0824

Mailing address

732 S 6th St Ste 4459
Las Vegas, NV 89101-6948

Authorized official

Talaya Green
Mgr Member
4695840824

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