Organization
A LIFE CHANGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN HASKINS MURRY (MANAGER)
(702) 528-3240
Entity
Organization
Contact information
Practice address
917 W ADAMS AVE, LAS VEGAS, NV 89106-2916
(702) 528-3240
Mailing address
917 W ADAMS AVE, LAS VEGAS, NV 89106-2916
(702) 528-3240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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