MEDICARE: LIFES CHALLENGES A MENTAL HEALTH CONSULTANT FIRM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1184515934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFES CHALLENGES A MENTAL HEALTH CONSULTANT FIRM

Provider Business Mailing Address
First Line	:	6301 MOUNTAIN VISTA ST STE 104
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2365
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 MOUNTAIN VISTA ST STE 104
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2365
Country	:	US
Telephone Number	:	512-201-6766
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HABIB KHAN
Credential	:
Telephone Number	:	512-201-6766

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	12/05/2025

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