# LIFESTYLE OVERHAUL, LLC

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

## Provider details

- **NPI number:** 1821628199
- **Authorized official:** MRS. CLAUDIA JOHNSON LCPC (PROFESSIONAL CLINICAL COUNSELOR)
- **Authorized official phone:** (708) 752-3361

## Contact information

- **Practice address:** 98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
- **Practice address phone:** (702) 433-3038
- **Mailing address:** 98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
- **Mailing address phone:** (702) 433-3038

## Taxonomy

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