Life Change Outpatient, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFE CHANGE OUTPATIENT, LLC

Practice address

14400 Bogert Pkwy Ste 600
Oklahoma City, OK 73134-2652

Phone

(405) 252-0823

NPI assigned

Jun 17, 2026

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara McBrideNPI 1770439598

Title

Program Administrator

Phone

(334) 498-5707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Leigh McBride

  • Peer Specialist
  • Oklahoma City, OK
  • NPI 1770439598
  NPD Authorized official

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1407781644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 BOGERT PKWY STE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342652",
            "telephone_number": "405-252-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 BOGERT PKWY STE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342652",
            "telephone_number": "405-252-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGE OUTPATIENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "334-498-5707"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaden Thai Alexandria Liedtke, RBT
• Caitlin Trang Lieng, MS, ARNP
• Travis W. Lierly, D.D.S.
• Andrew Hyun Liew, MD
• Life and Hope Counseling Agnecy
• Life Changes Wellness Counseling
• Life Changing Skills, LLC
• Life Check Lab, LLC (LifeCheck Laboratory, LLC)
• Life Clinic of Ok PC
• Life Nutrition

• Substance Use Disorder Rehabilitation Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.