Organization Active NPI

Life Changes Counseling and Coaching Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Haven, FL
National Provider Identifier
1780458349
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFE CHANGES COUNSELING AND COACHING SERVICES, LLC
Practice address
200 Avenue C SW Apt 214
Winter Haven, FL 33880-3283
Phone
(706) 341-2998
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Loquita D Roberts, MSW, LCSW,BCDNPI 1215965850
Title
Ceo
Phone
(706) 341-2998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 Avenue C SW Apt 214
Winter Haven, FL 33880-3283

Mailing address

200 Avenue C SW Apt 214
Winter Haven, FL 33880-3283
Phone (706) 341-2998

Other names 1

  • Life Changes Counseling and Coaching Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1780458349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE C SW APT 214",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803283",
            "telephone_number": "706-341-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE C SW APT 214",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803283",
            "telephone_number": "706-341-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES COUNSELING AND COACHING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LOQUITA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-341-2998",
        "authorized_official_credential": "MSW, LCSW,BCD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Changes Counseling and Coaching Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Changes Counseling and Coaching Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.