Active NPI
Lifestylze Wellness Clinic
- Clinic/Center
- Gulfport, MS
National Provider Identifier
1043120538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.