Active NPIOrganization

Life Changes, LLC

Counselor, Mental Health in Middletown, Connecticut

NPI Number1902107428
Practice location
193 Main St, Middletown, CT 06457-3423
Fax
860-829-1550
Last updated
November 15, 2010

Life Changes, LLC is a healthcare organization based in Middletown, CT. Life Changes, LLC practices in Middletown, CT. The NPI Number for Life Changes, LLC is 1902107428 and holds a License No. 001763 (CT). The current practice location address for Life Changes, LLC is 193 Main St, Middletown, CT 06457-3423 and can be reached out via phone at 860-944-1171 and via fax at 860-829-1550.

Provider Profile Details

NPI Number
1902107428
Provider Name
Life Changes, LLC
Provider Entity Type
Organization
Address
193 Main St, Middletown, CT 06457-3423
Phone Number
860-944-1171
Fax Number
860-829-1550
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Mr. Andrew Brooks Degling, LPC · Owner · 860-944-1171
Provider Enumeration Date
November 15, 2010
Last Update Date
November 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Main St
Middletown, CT 06457-3423
Zip
06457-3423
Phone Number
860-944-1171
Fax Number
860-829-1550
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
147 Main St
East Berlin, CT 06023-1136
City
East Berlin
State
CT
Zip
06023-1136
Phone Number
860-944-1171
Fax Number
860-829-1550

License Information

License Number
001763
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Life Changes, LLC?

The NPI number of Life Changes, LLC is 1902107428. It was assigned on November 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Life Changes, LLC?

Life Changes, LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 001763.

Where does Life Changes, LLC practice?

The practice location is 193 Main St, Middletown, CT 06457-3423. The office can be reached at 860-944-1171 (phone) or 860-829-1550 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902107428 directly on the NPPES registry website.

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