# CHANGED LIVES SUBSTANCE ABUSE TREATMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609412618
- **Authorized official:** CHRISTOPHER T COX LPCC, LCADC (OWNER)
- **Authorized official phone:** (859) 368-4105

## Contact information

- **Practice address:** 149 DEWEESE ST, LEXINGTON, KY 40507-1925
- **Practice address phone:** (859) 368-4105
- **Mailing address:** 149 DEWEESE ST, LEXINGTON, KY 40507-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2019
- **Last updated:** 11/02/2020