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

Change of Life

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1245199975

Change of Life is a Mental Health Clinic/Center (Including Community Mental Health Center) in Indianola, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

411 Roosevelt St
Indianola, MS 38751-3141
Phone: (662) 635-9972
Fax: (662) 452-5066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1245199975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Randle — Ceo · (662) 207-3645
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address411 Roosevelt St, Indianola, MS 38751-3141

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