Organization
LIFE CHANGE THERAPY
Active
Other names
Life Change Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROGERS PHD (CLINICAL DIRECTOR - PRACTITIONER)
(725) 244-7223
Entity
Organization
Contact information
Practice address
4343 N RANCHO DR STE 221, LAS VEGAS, NV 89130-3434
(725) 244-7223
Mailing address
4343 N RANCHO DR STE 221, LAS VEGAS, NV 89130-3434
(725) 244-7223
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/24/2020
Last updated
08/08/2024
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