The Life Change Center
The Life Change Center is an Addiction (Substance Use Disorder) Psychologist in Sparks, Nevada. Licensed in Nevada. Registered with an NPI since 2016.
- Licensed in
- NV
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
1755 Sullivan LnSparks, NV 89431-2815
Phone: (775) 499-5534
Fax: (775) 499-5535
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Psychologist (primary) | Taxonomy 103TA0400X · Licence 8312NTC-01 (NV) |
|---|---|
| Methadone Clinic | Taxonomy 261QM2800X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1205389129 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Firestone — Executive Director · (775) 842-7436 |
| NPI enumerated | July 27, 2016 |
| Last updated in NPPES | June 17, 2024 |
| Certification date | June 17, 2024 |
| Mailing address | 1755 Sullivan Ln, Sparks, NV 89431-2815 |
Other providers in Sparks
-
MS. Glenda Lee Allen, MAMFTLADC
835 Rock Blvd, Sparks, NV 89431 · (775) 355-7722