| Changing Lives Llc | |
|
8250 N Grand Canyon Dr Unit 1147 Las Vegas NV 89166-3738 | |
| (702) 406-7870 | |
| Not Available |
| Full Name | Changing Lives Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8250 N Grand Canyon Dr Unit 1147, Las Vegas, Nevada |
| Authorized Official Name and Position | Desha Murry (OWNER) |
| Authorized Official Contact | 7026282887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lives Llc 8250 N Grand Canyon Dr Unit 1147 Las Vegas NV 89166-3738 Ph: (702) 406-7870 | Changing Lives Llc 8250 N Grand Canyon Dr Unit 1147 Las Vegas NV 89166-3738 Ph: (702) 406-7870 |
| NPI Number | 1245954403 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245954403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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