NPI 1013715077 · live from the CMS NPI Registry
A Change In You Wellness Center
Substance Abuse Rehabilitation Facility in Las Vegas, NV. National Provider Identifier 1013715077, active.
NPI record
| NPI | 1013715077 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Substance Abuse Rehabilitation Facility 324500000X |
| Practice location | 732 S 6th St Ste 4459, Las Vegas, NV 89101 |
| Practice phone | 469-584-0824 |
| Enumerated | March 5, 2025 |
| Last updated | April 2, 2025 |
| Authorized official | Talaya Green, Mgr Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | — |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Community/Behavioral Health | 251S00000X | — |
| Substance Abuse Rehabilitation Facility primary | 324500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.