Changing Lives Wellness LLC
Changing Lives Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, Michigan. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
625 Kenmoor Ave SE # 150434Grand Rapids, MI 49546-2395
Phone: (248) 413-5013
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1144162835 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Mangenje — Owner / Np / Provider · (248) 413-5013 |
| NPI enumerated | April 9, 2026 |
| Last updated in NPPES | April 9, 2026 |
| Certification date | April 9, 2026 |
| Mailing address | 625 Kenmoor Ave Se # 150434, Grand Rapids, MI 49546-2395 |
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