Active NPI
Life Change Corp
- Urgent Care Clinic/Center
- Phoenix, AZ
National Provider Identifier
1700697976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LIFE CHANGE CORP
- Practice address
- 2995 W Fairmount Ave
Phoenix, AZ 85017-4614 - Phone
- (602) 799-2757
- NPI assigned
- Jan 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tlahjonte Hopson
- Title
- Board Chairman
- Phone
- (602) 799-2757
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2995 W Fairmount Ave
Phoenix, AZ 85017-4614
Mailing address
4513 W Lodge Dr
Laveen, AZ 85339-7788
Phone (602) 799-2757
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1700697976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 W LODGE DR",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397788",
"telephone_number": "602-799-2757",
"fax_number": "480-525-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 W FAIRMOUNT AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850174614",
"telephone_number": "602-799-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-16",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "HOPSON",
"authorized_official_first_name": "TLAHJONTE",
"authorized_official_title_or_position": "BOARD CHAIRMAN",
"authorized_official_telephone_number": "602-799-2757",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Life Care at Home of Arizona Inc
- Life Care at Home of Arizona, Inc.
- Life Care Centers of America, Inc.
- Life Care Centers of America, Inc.
- Life Challenge, Inc.
- Life Changing Home Care Services LLC
- Life Changing Initiatives
- Life Changing Wellness & Treatment Center LLC
- Life Choices Professional Group, LLC
- Life Choices Womens Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.