Life Changers
LBN: P.R.I.D.E. Services L.L.C.
Life Changers is an health care organization with primary practice located at 1516 E Tropicana Ave Ste 154 , Las Vegas NV 89119-8316. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty.
P.R.I.D.E. Services L.L.C. can be contacted via phone (702) 268-8109, or through Walker-Davis, Andrea Denise via phone (702) 268-8109.
Contact Information
Primary practice address
1516 E Tropicana Ave Ste 154
Las Vegas NV 89119-8316
Phone: (702) 268-8109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | NV20141081108 | Nevada |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1407273360 |
|---|---|
| LBN Legal business name | P.R.I.D.E. Services L.L.C. |
| DBA Doing business as | Life Changers |
| Authorized official | Walker-Davis, Andrea Denise |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2014 |
| Last updated | Mar 5th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407273360 | NPPES |
| Nevada | MEDICAID | 1407273360 |
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