Changes for Life

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6656303-6006 Issued in UT

Legal business name

CHANGES FOR LIFE

Practice address

1086 S Main St
Suite #2
St George, UT 84770-5277

Phone

(435) 218-2414

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Marcie D Gray, LSUDC

Title

Owner/Operator

Phone

(435) 218-2414

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1487038006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 S MAIN ST",
            "address_2": "SUITE #2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705277",
            "telephone_number": "435-218-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 S MAIN ST",
            "address_2": "SUITE #2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705277",
            "telephone_number": "435-218-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "435-218-2414",
        "authorized_official_credential": "LSUDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "6656303-6006",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "266415-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Chambers
• Taylor Chambers, MS, LMFT
• Devin Chandler
• Faith Chandler
• Michael Warren Chandler, MD
• Michelle Chapa
• Joshua Truman Chapman
• Tesa Charlesworth
• Christopher Cress Charter, APRN
• Sarah Charter

• Addiction (Substance Use Disorder) Counselor in St George, UT
• Providers in St George, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.