LIFE CHANGE THERAPY LLC (NPI# 1871192401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192401 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGE THERAPY LLC |
| Practice Address |
1180 N Town Center Dr Ste 100 Las Vegas NV 89144-6308 |
| Mailing Address |
5525 Raven Creek Ave Las Vegas NV 89130-7207 |
| Practice Telephone | 7025291465 |
| Mailing Telephone | 7023240221 |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |
| Authorized Official Name | DR. DAVID ROGERS (OWNER/THERAPIST) |
| Authorized Official Telephone | 7023240221 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Life Change Therapy LLC | Former Legal Business Name - Organization |
| Street Address |
1180 N TOWN CENTER DR STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760404768 | Clarence E. Grim | Internal Medicine | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2006-07-25 |
| 1689288607 | Always By Your Side Home Care | In Home Supportive Care | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-09-08 |
| 1891309720 | Always By Your Side Home Care | In Home Supportive Care | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-09-08 |
| 1306450986 | Always By Your Side Home Care | In Home Supportive Care | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-09-01 |
| 1972122596 | Dl Howard Md Phd Pllc | Obstetrics & Gynecology | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-14 |
| 1295354132 | Thrive LLC | Clinic/Center | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-10 |
| 1114556222 | Aroma Functional Nutrition Psychiatry, LLC | Psychiatry & Neurology | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-04-02 |
| 1215563424 | Dr. David Rogers, Phd Ltd. | Clinic/Center | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2020-03-19 |
| 1699326645 | Transitions In Lyfe. LLC | Counselor | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2019-09-20 |
| 1093285462 | Reliant Physicians (kumar) Pllc | Family Medicine | 1180 N Town Center Dr Ste 100, Las Vegas, NV 89144-6308 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114424744 | Adam Kiliona Verano | Psychologist | 2626 S Rainbow Blvd Ste 203, Las Vegas, NV 89146-5190 | 2018-04-10 |
| 1457722522 | Giorge Arevalo Blanco | Psychologist | 5306 Sandstone Dr, Las Vegas, NV 89142-0156 | 2015-10-14 |
| 1750854923 | Kristi Sessions | Psychologist | 3551 E Bonanza Rd Ste 101, Las Vegas, NV 89110-2198 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237698 | Focuslink Behavioral Health LLC | Psychologist | 2200 E Calvada Blvd Ste A, Pahrump, NV 89048-5833 | 2013-07-09 |
Please comment or provide details below to improve the information on LIFE CHANGE THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.