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

Lifechangers Outreach

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1790291334

Lifechangers Outreach is a Substance Use Disorder Rehabilitation Clinic/Center in Kodak, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

2450 Winfield Dunn Pkwy
Kodak, TN 37764-2100
Phone: (865) 805-0567
Show map & directions

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

Additional practice locations (1)

  • 3677 Robert C. Byrd Drive, Beckley, WV 25801 — (865) 805-0567

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 1000000021300 (TN)

Record details

NPI number1790291334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Johnson — Executive Director · (865) 805-0567
Other names Lifechangers Iop
NPI enumeratedDecember 19, 2017
Last updated in NPPESSeptember 25, 2018
Mailing address404 Holly Ct, Sevierville, TN 37862-5314

Other providers in Kodak