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LIFE CHANGE INSTITUTE LLC. NPI 1962731174


NPI Information

NPI: 1962731174
Provider Name: LIFE CHANGE INSTITUTE, LLC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
9301 INDIAN SCHOOL RD NE STE 103
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 280-5860
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LIFE CHANGE INSTITUTE, LLC. is a community behavioral health in Albuquerque, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFE CHANGE INSTITUTE, LLC. NPI is 1962731174. The provider is registered as an organization entity type.

The provider's business location address is:

9301 INDIAN SCHOOL RD NE STE 103
ALBUQUERQUE, NM
ZIP 87112-861
Phone: (505) 280-5860
Fax: (505) 294-3904

The provider's authorized official is Shannon Enright-smith .
The authorized official title is Founder/owner and has the following contact phone number (505) 280-5860.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthI-06858NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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