CHANGES FOR LIFE (NPI# 1487038006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487038006 |
| Entity Type | Organization |
| Organization Name | CHANGES FOR LIFE |
| Practice Address |
1086 S Main St Suite #2 St George UT 84770-5277 |
| Practice Telephone | 4352182414 |
| Mailing Telephone | 4352182414 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | MARCIE D GRAY (OWNER/OPERATOR) |
| Authorized Official Telephone | 4352182414 |
| Authorized Official Credential | LSUDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
266415-3501 | UT | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6656303-6006 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1086 S MAIN ST SUITE #2 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-5277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225205958 | Marcie Gray | Counselor | 1086 S Main St, Suite 2, St George, UT 84770-5277 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689231094 | Chasity Edwards | Counselor | 491 E Riverside Dr Ste 1a, St George, UT 84790-7052 | 2019-05-21 |
| 1366876104 | Alexandrah Lynn Keenan | Counselor | 315 W Hilton Dr Ste 4, St George, UT 84770-2203 | 2013-08-28 |
| 1255637567 | Jarrod Todd Hockenbury | Counselor | 179 N 2900 E, St George, UT 84790-6415 | 2011-02-03 |
| 1497074371 | Kelly Bawden Miller | Counselor | 545 S Valley View Dr, 46, St George, UT 84770-4405 | 2010-05-18 |
| 1336389048 | Teresa Lea Lloyd | Counselor | 546 N 500 W Apt 4, St George, UT 84770-5718 | 2009-02-20 |
| 1982843801 | Lynn Richard Dangerfield | Counselor | 2990 E Riverside Dr Unit 104, St George, UT 84790-1470 | 2009-02-17 |
| 1225205958 | Marcie Gray | Counselor | 1086 S Main St, Suite 2, St George, UT 84770-5277 | 2008-05-12 |
| 1861687451 | Aaron Ward | Counselor | 260 W Saint George Blvd, St George, UT 84770 | 2007-09-07 |
| 1346465267 | Russell W Talbot | Counselor | 561 E Tabernacle St, St George, UT 84770-2944 | 2007-04-16 |
| 1386783090 | Angela Edwards-matheson | Counselor | 283 W Hilton Dr Ste 4, St George, UT 84770-2200 | 2007-02-06 |
| Find all providers in ST GEORGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.