Organization · Type 2 NPI
The Life Change Center
Addiction (Substance Use Disorder) Psychologist · Reno, NV
Practice location
130 Vine St
Reno, NV 89503-5546
Fax (775) 355-7759
Mailing address
1755 Sullivan Ln
Sparks, NV 89431-2815
Other practice locations
- 1755 Sullivan Ln, Sparks, NV 89431-2815 · (775) 355-7734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | 138101 (NV) |
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Addiction (Substance Use Disorder) Psychologist: 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., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
6 other providers at this address
- Brennan TicaAddiction (Substance Use Disorder) Counselor Reno, NV NPI 1285401885
- Hailey AbecassisAddiction (Substance Use Disorder) Counselor Reno, NV NPI 1104764109
- Jake Bartley Wilson, CADC-IAddiction (Substance Use Disorder) Counselor Reno, NV NPI 1073115747
- Kiara PontiusAddiction (Substance Use Disorder) Counselor Reno, NV NPI 1265202774
- Melissa Cordova Segoviano, CADC-IAddiction (Substance Use Disorder) Counselor Reno, NV NPI 1144184847
- Thomas C. Wilson, CADC-IAddiction (Substance Use Disorder) Counselor Reno, NV NPI 1548037039
About NPI 1922056415
The Life Change Center's National Provider Identifier is 1922056415, issued on May 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Reno, NV. The record was last updated on Jun 17, 2024.