Organization Active NPI

Lifestylze Wellness Clinic

  • Clinic/Center
  • Gulfport, MS
National Provider Identifier
1043120538
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFESTYLZE WELLNESS CLINIC
Doing business as
Lifestylze wellness WEIGHT LOSS AND AESTHETICS
Practice address
2700 14TH Ave Ste a
Gulfport, MS 39501-5106
Phone
(228) 300-3634
NPI assigned
Sep 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Lenard
Title
Owner
Phone
(228) 223-7515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2700 14TH Ave Ste a
Gulfport, MS 39501-5106

Mailing address

2700 14TH Ave Ste a
Gulfport, MS 39501-5106

Other names 1

  • Lifestylze wellness WEIGHT LOSS AND AESTHETICS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1043120538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 14TH AVE STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 14TH AVE STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015106",
            "telephone_number": "228-300-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLZE WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "LENARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-223-7515"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestylze wellness WEIGHT LOSS AND AESTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.