Life Change Institute, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-06858 Issued in NM

Legal business name

LIFE CHANGE INSTITUTE, LLC.

Practice address

9301 Indian School Rd NE Ste 103
Albuquerque, NM 87112-2861

Phone

(505) 280-5860

Fax

(505) 294-3904

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Enright-Smith, LISW

Title

Founder/Owner

Phone

(505) 280-5860

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Kasey Best, M.C.

  • Marriage & Family Therapist
  • Albuquerque, NM
  • NPI 1700265303
  NPD (past)
• Tamara Suzanne Bibo

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1700217601
  NPD (past)
• Shari K Stewart, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1699416032
  NPD (past)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1962731174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122861",
            "telephone_number": "505-280-5860",
            "fax_number": "505-294-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122861",
            "telephone_number": "505-280-5860",
            "fax_number": "505-294-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGE INSTITUTE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ENRIGHT-SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "505-280-5860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-06858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Liechty
• Benny Liem
• Lynna M Lies, DC
• Pamela Ann Lieurance
• Catherine Ann Lieuwen, L.M.H.C.
• Life Change Psychotherapy Institute, PC
• Life Enhancement Specialists LLC
• Life Family Healthcare, LLC
• Life Maps LLC
• Life Mission Family Services

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.