Organization
THE CENTER FOR CHANGE LLC
Active
Organization
THE CENTER FOR CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN RODRIGUEZ (MANAGER)
(702) 945-8846
Entity
Organization
Contact information
Practice address
4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
(702) 368-2380
(702) 368-2380
Mailing address
4535 W RUSSELL RD STE 15, LAS VEGAS, NV 89118-2258
(702) 368-2380
(702) 368-2316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/05/2018
Last updated
11/06/2019
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