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Organization
CHANGING LIVES REHABILITATION HEALTH CENTER
Active
Organization
CHANGING LIVES REHABILITATION HEALTH CENTER
Active
Other names
Changing Lives Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WHITNEY N ALLEN (OFFICE MANAGER)
(318) 458-4798
Entity
Organization
Contact information
Practice address
122 NUTMEG DR, RUSTON, LA 71270-0101
(318) 458-4798
Mailing address
122 NUTMEG DR, RUSTON, LA 71270-0101
(318) 458-4798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/15/2021
Last updated
09/28/2021
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