# THE CENTER FOR CHANGE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CENTER FOR CHANGE LLC.
- **Other names:** Center for Change
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164083515
- **Legal business name:** THE CENTER FOR CHANGE LLC.
- **Authorized official:** MORGAN LEE (REPRESENTATIVE)
- **Authorized official phone:** (702) 368-2380

## Contact information

- **Practice address:** 4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
- **Practice address phone:** (702) 368-2380
- **Practice address fax:** (702) 368-2316
- **Mailing address:** 4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
- **Mailing address phone:** (702) 368-2380
- **Mailing address fax:** (702) 368-2316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 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