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LIFE CHANGE THERAPY NPI 1871192401


NPI Information

NPI: 1871192401
Provider Name: LIFE CHANGE THERAPY

Other Name: LIFE CHANGE THERAPY

Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
4343 N RANCHO DR STE 221
LAS VEGAS, NV
ZIP 89130
Phone: (725) 244-7223
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LIFE CHANGE THERAPY is a group psychotherapy psychologist in Las Vegas, NV. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. LIFE CHANGE THERAPY NPI is 1871192401. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Life Change Therapy.

The provider's business location address is:

4343 N RANCHO DR STE 221
LAS VEGAS, NV
ZIP 89130-434
Phone: (725) 244-7223

The provider's authorized official is David Rogers .
The authorized official title is Owner/therapist and has the following contact phone number (725) 244-7223.

The enumeration date for this NPI number is 10/24/2020 and was last updated on 3/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP2701XPsychologistGroup PsychotherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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