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Organization
LIFE CHANGE THERAPY
Active
Organization
LIFE CHANGE THERAPY
Active
Other names
Life Change Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL ROGERS PHD, LCSW, LCADC (CEO/CLINICAL DIRECTOR-PRACTITIONER)
(725) 244-7223
Entity
Organization
Contact information
Practice address
303 S WATER ST STE 230, HENDERSON, NV 89015-7308
(725) 244-7223
(725) 215-9766
Mailing address
303 S WATER ST STE 230, HENDERSON, NV 89015-7308
(725) 244-7223
(725) 215-9766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/24/2020
Last updated
08/07/2026
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