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Contact Information

CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER
5516 S FORT APACHE RD STE 120
LAS VEGAS, NV89148-7679
 Phone: 702-479-1629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER

NPI Number 1437385408
LBN Legal business name CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER
Authorized official SYLVIA NASEATH - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2009
Last updated 06/04/2009 - About 17 years ago
Identifiers
NV License # 01010
NV License # 01201-L
NV License # 4785-C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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