Organization · Type 2 NPI
Changing Lives Wellness LLC
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1144162835
Active
Practice location
625 Kenmoor Ave SE # 150434
Grand Rapids, MI 49546-2395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1144162835
Changing Lives Wellness LLC's National Provider Identifier is 1144162835, issued on Apr 9, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 9, 2026.