CHANGING LIVES WELLNESS LLC
NPI 1144162835
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Q: What is Changing Lives Wellness LLC's NPI number?

The NPI number for Changing Lives Wellness LLC is 1144162835. It was assigned to this organization in the NPPES registry on April 9, 2026.

Q: What is Changing Lives Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 09, 2026

625 KENMOOR AVE SE # 150434, GRAND RAPIDS, MI 49546(248) 413-5013 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Changing Lives Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGING LIVES WELLNESS LLC (NPI 1144162835) is a healthcare organization registered as a psychiatric/mental health in Grand Rapids, Michigan and active in the NPI registry since April 2026. The organization lists Brian Mangenje, Owner / Np / Provider, as its authorized official.

NPPES Registry Identity

NPI1144162835

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCHANGING LIVES WELLNESS LLC

Location Address625 KENMOOR AVE SE # 150434Grand Rapids, MI 49546-2395

Mailing Address625 Kenmoor Ave Se # 150434Grand Rapids, MI 49546-2395 · (248) 413-5013

Phone(248) 413-5013

Organization SubpartNo

Authorized OfficialBrian MangenjeOwner / Np / Provider · (248) 413-5013

Enumeration DateApril 9, 2026

NPPES CertifiedApril 9, 2026

✔ NPI 1144162835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

625 KENMOOR AVE SE # 150434, Grand Rapids, MI 49546

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Changing Lives Wellness LLC's NPI number?

The NPI number for Changing Lives Wellness LLC is 1144162835. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Changing Lives Wellness LLC located?

Changing Lives Wellness LLC is located at 625 Kenmoor Ave SE # 150434, Grand Rapids, MI 49546. The listed phone number is (248) 413-5013.

What is Changing Lives Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Changing Lives Wellness LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.