The Life Change Center

LBN: The Life Change Center
The Life Change Center is an health care organization with primary practice located at 1755 Sullivan Ln , Sparks NV 89431-2815. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. The Life Change Center can be contacted via phone (775) 499-5534, or through Firestone, John via phone (775) 842-7436.

Contact Information

Primary practice address
1755 Sullivan Ln Sparks NV 89431-2815
Phone: (775) 499-5534
Fax: (775) 499-5535
Website:
Map and Directions
Authorized official contact:
Name: Firestone, John MSW, LADC
Phone: (775) 842-7436

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 8312NTC-01 Nevada
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1205389129
LBN Legal business name The Life Change Center
DBA Doing business as
Authorized official Firestone, John MSW, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2016
Last updated Jun 17th, 2024 - about 2 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.

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