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Organization
LIFESTYLE OVERHAUL, LLC
Active
Organization
LIFESTYLE OVERHAUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA JOHNSON LCPC (PROFESSIONAL CLINICAL COUNSELOR)
(708) 752-3361
Entity
Organization
Contact information
Practice address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
Mailing address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
NULL
101YS0200X
School Counselor
—
—
Other
Enumeration date
01/24/2020
Last updated
04/21/2021
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