Organization
LIFE CHANGES COUNSELING & CONSULTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON D LEWIS LCMHC (PRESIDENT/COUNSELOR)
(575) 693-8230
Entity
Organization
Contact information
Practice address
2300 N MAIN ST STE 29, CLOVIS, NM 88101-3575
(575) 693-8230
Mailing address
2701 PUTNAM DR, CLOVIS, NM 88101-9351
(575) 693-8230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0106271
NM
251S00000X
Community/Behavioral Health Agency
0125231
NM
251S00000X
Community/Behavioral Health Agency
I-06845
NM
251S00000X
Community/Behavioral Health Agency
M-07179
NM
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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