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

Life Change Corp

Organization Mental Health Counselor · NPI 1700697976

Life Change Corp is a Mental Health Counselor in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
12
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2995 W Fairmount Ave
Phoenix, AZ 85017-4614
Phone: (602) 799-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Psychiatry Physician Taxonomy 2084P0800X
General Practice Physician Taxonomy 208D00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Health Service Clinic/Center Taxonomy 261QH0100X
Primary Care Clinic/Center Taxonomy 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1700697976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tlahjonte Hopson — Board Chairman · (602) 799-2757
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address4513 W Lodge Dr, Laveen, AZ 85339-7788

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