<Unavail>
LBN: The Life Change Center
<Unavail> is an health care organization with primary practice located at 130 Vine St , Reno NV 89503-5546. 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 Zeller, Ryan via phone (775) 355-7734.
Contact Information
Primary practice address
130 Vine St
Reno NV 89503-5546
Phone: (775) 499-5534
Fax: (775) 355-7759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 138101 | Nevada |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1922056415 |
|---|---|
| LBN Legal business name | The Life Change Center |
| DBA Doing business as | <Unavail> |
| Authorized official | Zeller, Ryan Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922056415 | NPPES |
| Nevada | MEDICAID | 001716006 |
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