Changing How I Live Life
Counselor, Addiction (Substance Use Disorder) in Austin, TX. Organization (NPI-2).
NPI number1487977583
StatusActive
Last updated in NPPESSep 14, 2016
Details
- NPI
- 1487977583
- Entity type
- Organization (NPI-2)
- Legal business name
- Changing How I Live Life
- Organization subpart
- No
- Enumeration date
- Mar 4, 2010
- Last updated
- Sep 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | TX | Yes |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 253Z00000X | In Home Supportive Care | 5006 | TX |
Practice location
1006 E Yager LnA 104
Austin, TX 78753-7088
Phone 512-385-4799
Mailing address
1006 E. Yager LaneA 104
Austin, TX 78753
Phone 512-385-4799
Authorized official
Lori D. Wilson
Executive Director
5123854799
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