Organization · Type 2 NPI
Life Changes Mental Health Services PLLC
Psychiatric/Mental Health Nurse Practitioner · Lewiston, ID
NPI number
1659939536
Active
Practice location
816 Main Street
Lewiston, ID 83501-1870
Fax (949) 404-8139
Mailing address
PO Box 472
Craigmont, ID 83523-0472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659939536
Life Changes Mental Health Services PLLC's National Provider Identifier is 1659939536, issued on Jun 5, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lewiston, ID. The record was last updated on Apr 7, 2023.