Changing Lives Rehabilitation Health Center
Counselor, Mental Health in Ruston, LA. Organization (NPI-2).
NPI number1891465456
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1891465456
- Entity type
- Organization (NPI-2)
- Legal business name
- Changing Lives Rehabilitation Health Center
- Organization subpart
- No
- Enumeration date
- Sep 15, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Changing Lives Wellness Center (Doing Business As)
Practice location
122 Nutmeg DrRuston, LA 71270-0101
Phone 318-458-4798
Mailing address
122 Nutmeg DrRuston, LA 71270-0101
Phone 318-458-4798
Authorized official
Whitney N Allen
Office Manager
3184584798
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