Life Change Institute, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFE CHANGE INSTITUTE, LLC

Practice address

8023 Royal Birkdale Circle
Lakewood Ranch, FL 34202-2538

Phone

(941) 400-9556

NPI assigned

Apr 12, 2024

Last updated

Apr 12, 2024By 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

Dr. Michael Leblond, PHD, MBANPI 1063710952

Title

Ceo

Phone

(941) 400-9556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Michael H. Leblond, PH.D., M.B.A,

  • Counseling Psychologist
  • Lakewood Ranch, FL
  • NPI 1063710952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1548014970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 ROYAL BIRKDALE CIRCLE",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022538",
            "telephone_number": "941-400-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 ROYAL BIRKDALE CIRCLE",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022538",
            "telephone_number": "941-400-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "LEBLOND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-400-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Leroy, M.D.
• Harvey Lester, DMD
• Kayla Letterio
• LFBS and Company LLC (Lakewood Ranch Health)
• Liberty Sleep Solutions of Sarasota, PLLC
• Lifeio LLC
• Liferza Counseling
• Judith Lim, DMD
• Delani Lima, ARNP
• Shaun Jason Limon, DPM

• Adult Mental Health Clinic/Center in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.