Life Changes Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

COO4782P Issued in NC

Legal business name

LIFE CHANGES COUNSELING SERVICES

Practice address

668 Withrow Rd
Forest City, NC 28043-9695

Phone

(828) 286-4466

Fax

(828) 286-4450

NPI assigned

Jul 24, 2007

Last updated

Jun 17, 2008By 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

Ms. Loquita Dawn Roberts, MSW, LCSWNPI 1215965850

Title

Ceo

Phone

(704) 451-8550

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Loquita Dawn Roberts, MSW,LCSW

  • Clinical Social Worker
  • Winter Haven, FL
  • NPI 1215965850
  NPD (past) Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1689874851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE 344",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168636",
            "telephone_number": "704-451-8550",
            "fax_number": "828-286-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WITHROW RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439695",
            "telephone_number": "828-286-4466",
            "fax_number": "828-286-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LOQUITA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-451-8550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO4782P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002881",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen A. Lawrence, DPM
• Paul Layman, PA
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• Sydney Lee, DPT
• Paul Sanders Linker, MD
• Lisa's Family Care Home LLC. (Comfort Care)
• Katharine Anne Lowery, LPC
• Benjamin Jay Lyles, MD
• M Queen Clinical Therapy PLLC (Miranda M Queen)

• Clinical Social Worker in Forest City, NC
• Providers in Forest City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.