CHANGE OF LIFE
NPI 1245199975
Clinic/Center - Mental Health (Including Community Mental Health Center) in Indianola, MS

Q: What is Change Of Life's NPI number?

The NPI number for Change Of Life is 1245199975. It was assigned to this organization in the NPPES registry on January 19, 2026.

Q: What is Change Of Life's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Change Of Life was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 19, 2026

411 ROOSEVELT ST, INDIANOLA, MS 38751(662) 635-9972(662) 452-5066 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Change Of Life NPPES

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

CHANGE OF LIFE (NPI 1245199975) is a healthcare organization registered as a mental health (including community mental health center) in Indianola, Mississippi and active in the NPI registry since January 2026. The organization lists Pamela Lorraine Randle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245199975

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCHANGE OF LIFE

Location Address411 ROOSEVELT STIndianola, MS 38751-3141

Mailing Address411 Roosevelt StIndianola, MS 38751-3141 · (662) 635-0794 · Fax (662) 452-5066

Phone(662) 635-9972

Fax(662) 452-5066

Organization SubpartNo

Authorized OfficialPamela Lorraine RandleCeo · (662) 207-3645

Enumeration DateJanuary 19, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1245199975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

411 ROOSEVELT ST, Indianola, MS 38751

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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 Change Of Life's NPI number?

The NPI number for Change Of Life is 1245199975. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Change Of Life located?

Change Of Life is located at 411 Roosevelt St, Indianola, MS 38751. The listed phone number is (662) 635-9972.

What is Change Of Life's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Change Of Life was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.