| NPI | 1871192401 |
|---|---|
| Other Name | LIFE CHANGE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL ROGERS CEO/Clinical Director Practitioner 725-244-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| 103TF0200X Psychologist, Forensic | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2026-08-07 |