Life Changez Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE CHANGEZ INC

Practice address

2856 Cornwallis Rd
Garner, NC 27529-8140

Phone

(919) 803-2799

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Miss Rene Cofer Whitehead

Title

Executive Director

Phone

(919) 538-8920

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Life Changez Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Life Changez Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Raleigh, NC
  • NPI 1730441775
  NPD tax ID
• Life Changez, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Fuquay Varina, NC
  • NPI 1912020637
  NPD tax ID

Locations

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1689829293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOGGER CT",
            "address_2": "SUITE A102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098525",
            "telephone_number": "919-538-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 CORNWALLIS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298140",
            "telephone_number": "919-803-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3833 Buffaloe Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276044210",
            "country_code": "US",
            "telephone_number": "919-239-4299",
            "fax_number": "919-803-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE CHANGEZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "COFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-538-8920",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-092-728",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604373",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Leigh Levy, MS OTR/L
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• William Joshua Lewis, DDS
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• Kimberly D Lhuillier, CRNA
• Life Without Limits, Inc.
• Lifestyle Hair Spalon, LLC
• Audrey Liles, MS, CCC-SLP
• Margaret Linder
• Andreas Linke, PA-C

• Community/Behavioral Health Agency in Garner, NC
• Providers in Garner, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.