Organization · Type 2 NPI

Changing Lives Rehabilitation Health Center

Mental Health Counselor · Ruston, LA

NPI number 1891465456 Active

Practice location

122 Nutmeg Dr
Ruston, LA 71270-0101

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor Primary	101YM0800X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

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NPI record

NPI: 1891465456
Entity type: Organization (Type 2)
Issued: Sep 15, 2021
Last updated: Sep 28, 2021
Status: Active

Other names

<unavail>
Changing Lives Wellness Center · doing business as
Changing Lives Wellness Center · doing business as

Authorized official

Ms. Whitney N Allen
Office Manager
(318) 458-4798

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891465456

Changing Lives Rehabilitation Health Center's National Provider Identifier is 1891465456, issued on Sep 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ruston, LA. The record was last updated on Sep 28, 2021.