Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Change Corp

Organization Mental Health Counselor · NPI 1700697976

Life Change Corp provides Mental Health Counselor services in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
12
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2995 W Fairmount Ave
Phoenix, AZ 85017-4614
Phone: (602) 799-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Psychiatry Physician Taxonomy 2084P0800X
General Practice Physician Taxonomy 208D00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Health Service Clinic/Center Taxonomy 261QH0100X
Primary Care Clinic/Center Taxonomy 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1700697976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tlahjonte Hopson — Board Chairman · (602) 799-2757
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address4513 W Lodge Dr, Laveen, AZ 85339-7788

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