Inspiring Change Treatment and Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INSPIRING CHANGE TREATMENT AND RECOVERY

Practice address

1785 E Sahara Ave Ste 255
Las Vegas, NV 89104-3716

Phone

(336) 816-0343

NPI assigned

Sep 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Constance B Polite

Title

Owner/Ceo

Phone

(336) 816-0343

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1407407166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42080 W SOMERSET DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383277",
            "telephone_number": "336-816-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 E SAHARA AVE STE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043716",
            "telephone_number": "336-816-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING CHANGE TREATMENT AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "336-816-0343"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Las Vegas, NV
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.