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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