The Center For Change LLC
Social Worker, Clinical in Las Vegas, NV. Organization (NPI-2).
NPI number1164083515
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1164083515
- Entity type
- Organization (NPI-2)
- Legal business name
- The Center For Change LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 26, 2019
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Other names
- Center For Change (Doing Business As)
Practice location
4535 W Russell Rd Ste 15Las Vegas, NV 89118-2258
Phone 702-368-2380 · Fax 702-368-2316
Mailing address
4535 W Russell Rd Ste 15Las Vegas, NV 89118-2258
Phone 702-368-2380 · Fax 702-368-2316
Other practice locations
7220 S Cimarron Rd Ste 210
Las Vegas, NV 89113-2102
Las Vegas, NV 89113-2102
Phone 702-368-2380
Authorized official
Morgan Lee
Representative
7023682380
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