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Organization

A CHANGE IN YOU WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TALAYA GREEN (MGR MEMBER)
(469) 584-0824
Entity
Organization

Contact information

Practice address
732 S 6TH ST STE 4459, LAS VEGAS, NV 89101-6948
(469) 584-0824
Mailing address
732 S 6TH ST STE 4459, LAS VEGAS, NV 89101-6948

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2084P0800X
Psychiatry Physician
251S00000X
Community/Behavioral Health Agency
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
03/05/2025
Last updated
04/02/2025
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