Life Changes Behavioral Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LIFE CHANGES BEHAVIORAL HEALTH

Practice address

6300 McCarran St
North Las Vegas, NV 89081-8135

Phone

(702) 401-5398

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Erica Kent

Title

Owner

Phone

(702) 401-5398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1902308638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MCCARRAN ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890818135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 MCCARRAN ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890818135",
            "telephone_number": "702-401-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-401-5398"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Licata
• Estefani Licea
• Erik J Liesen, DO
• Lisa Louise Liewa, RN
• Life Care Wellness LLC
• Life Gateway
• Lifeskills Unlimited, Inc
• Lifetrans, Inc.
• Lifting Others Behavior Health LLC
• Jocelyn Nato Ligayo, APRN

• Mental Illness Community Based Residential Treatment Facility in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.