# CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Circle of Change Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437385408
- **Authorized official:** DR. SYLVIA NASEATH PHD, LCSW, LADC (CLINICAL DIRECTOR)
- **Authorized official phone:** (702) 479-1629

## Contact information

- **Practice address:** 5516 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-7679
- **Practice address phone:** (702) 479-1629
- **Mailing address:** 5516 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-7679
- **Mailing address phone:** (702) 479-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 01201-L | NV | — |
| 1041C0700X | Clinical Social Worker | 4785-C | NV | Yes |
| 106H00000X | Marriage & Family Therapist | 01010 | NV | — |

## Other

- **Enumeration date:** 06/04/2009
- **Last updated:** 06/04/2009