The Life Change Center in Reno - Addiction (substance Use Disorder)
The Life Change Center - NPI 1922056415
The Life Change Center is a Addiction (substance Use Disorder) in Reno, Nevada. The Life Change Center practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for The Life Change Center is 1922056415. The last update date is 2019-06-04.
The Life Change Center's current location address is 130 Vine St, Reno, Nevada. You can contact this provider via phone number 7754995534 and fax number 7753557759. The mailing address for The Life Change Center is 130 Vine St, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Life Change Center |
|---|---|
| Address | 130 Vine St, Reno, Nevada |
| Phone Number | 7754995534 |
| Fax Number | 7753557759 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Zeller Ryan |
| Credentials | DO |
| Telephone Number | 7753557734 |
NPI Number Detail
| NPI Number | 1922056415 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2019-06-04 |
Provider Mailing Address Detail
| Address | 130 Vine St |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 895035546 |
| Phone Number | 7754995534 |
| Fax Number | 7753557759 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | 138101 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1716006 | NV | -- |
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What is the unique 10-digit identifier code assigned to The Life Change Center by the Centers for Medicare & Medicaid Services?
The The Life Change Center has been issued the NPI (National Provider Identifier) 1922056415 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the The Life Change Center located?
The The Life Change Center is located at 130 Vine St, Reno, NV 895035546.
What is The Life Change Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The The Life Change Center's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0400X.
On what date did the The Life Change Center receive the assignment of its 1922056415 from the Centers for Medicare & Medicaid Services?
The The Life Change Center was issued its 1922056415 by the Centers for Medicare & Medicaid Services on 2006-05-05.
When was the information related to The Life Change Center most recently updated or refreshed?
The details pertaining to the The Life Change Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-04.