OrganizationActive
Life Changes, Inc.
NPI 1720611304 · Prevention Professional · Reno, NV
Provider details
- NPI number
- 1720611304
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Nathan Jersey, Program Evaluator(775) 200-8827
Specialties & taxonomies
Other Service Providers
Practice location
1195 Kings Row
Reno, NV 89503-3524
Phone: (775) 685-8145
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3137
Sparks, NV 89432-3137
Additional practice locations (2)
- 541 W 2nd StReno, NV 89503-5310Phone: (775) 685-8145
- 1508 1st StSparks, NV 89431-3230Phone: (775) 685-8145
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.