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Organization
THE CENTER FOR CHANGE LLC
Active
Organization
THE CENTER FOR CHANGE LLC
Active
Parent organization
THE CENTER FOR CHANGE LLC.
Other names
Center for Change
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR CHANGE LLC.
Authorized official
MORGAN LEE (REPRESENTATIVE)
(702) 368-2380
Entity
Organization
Contact information
Practice address
4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
(702) 368-2380
(702) 368-2316
Mailing address
4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
(702) 368-2380
(702) 368-2316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
06/26/2019
Last updated
05/05/2021
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