NPI 1710593223

Changing Lives LLC

Organisation Prevention Professional Las Vegas, NV

Practice location

Address: 500 N Rainbow Blvd STE 300, Las Vegas, NV 89107-1061
Phone: (310) 770-1897
Mailing address: 5727 Canoga Ave APT 138, Woodland Hills, CA 91367-6500

Authorised official

Name: Morgan Heflin
Title: Director
Phone: (310) 770-1897

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

Other Prevention Professional providers in Nevada →

Registry record

NPI: 1710593223
Entity type: Organization
NPI issued: 20 Sep 2020
Record last updated: 20 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.