Organization · Type 2 NPI

Life Change Corp

Urgent Care Clinic/Center · Phoenix, AZ

NPI number 1700697976 Active

Practice location

2995 W Fairmount Ave
Phoenix, AZ 85017-4614

Call (602) 799-2757 Map

Mailing address

4513 W Lodge Dr
Laveen, AZ 85339-7788

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Psychiatry Physician 2084P0800XNone listed
General Practice Physician 208D00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Urgent Care Clinic/Center Primary 261QU0200XNone listed

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About NPI 1700697976

Life Change Corp's National Provider Identifier is 1700697976, issued on Jan 16, 2025. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 6, 2026.