| Life Changes, Llc | |
|
255 Primera Blvd Ste 160 Lake Mary FL 32746-2168 | |
| (407) 376-0991 | |
| (321) 234-8272 |
| Full Name | Life Changes, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 255 Primera Blvd Ste 160, Lake Mary, Florida |
| Authorized Official Name and Position | Kimberley Lee Walker (OWNER/PROVIDER) |
| Authorized Official Contact | 4073760991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changes, Llc 9300 Conroy Windermere Rd # 3341 Windermere FL 34786-9997 Ph: (407) 376-0991 | Life Changes, Llc 255 Primera Blvd Ste 160 Lake Mary FL 32746-2168 Ph: (407) 376-0991 |
| NPI Number | 1245829787 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245829787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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