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

Life Change Outpatient, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1407781644

Life Change Outpatient, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Oklahoma City, Oklahoma. 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.

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Practice location Address checks out

14400 Bogert Pkwy Ste 600
Oklahoma City, OK 73134-2652
Phone: (405) 252-0823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1407781644
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara McBride — Program Administrator · (334) 498-5707
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address14400 Bogert Pkwy Ste 600, Oklahoma City, OK 73134-2652

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