Active NPI
Life Changing Initiatives
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1285596718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE CHANGING INITIATIVES
- Practice address
- 4539 N 22ND St Ste 5174
Phoenix, AZ 85016-4639 - Phone
- (520) 306-9770
- NPI assigned
- Dec 2, 2025
- 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
- Roberta Harris
- Title
- President/Ceo
- Phone
- (520) 306-9770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
4539 N 22ND St Ste 5174
Phoenix, AZ 85016-4639
Mailing address
4539 N 22ND St Ste 5174
Phoenix, AZ 85016-4639
Phone (520) 306-9770
National Provider Directory
National Provider DirectoryLocations
4539 N 22nd St
Ste 5174
Phoenix, AZ 85016
Phone (520) 306-9770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1285596718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE 5174",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "520-306-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE 5174",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "520-306-9770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGING INITIATIVES",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-02",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "ROBERTA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "520-306-9770"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Life Care Centers of America, Inc.
- Life Care Centers of America, Inc.
- Life Challenge, Inc.
- Life Change Corp
- Life Changing Home Care Services LLC
- Life Changing Wellness & Treatment Center LLC
- Life Choices Professional Group, LLC
- Life Choices Womens Clinic
- Life Clinic of Az PC
- Life Coaching 4 Kids Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.