THERAPEUTIC LIFE CHANGES, LLC
NPI 1336385970
Social Worker - Clinical in Dickinson, ND

Active since January 04, 2009
634 9TH AVE W, DICKINSON, ND 58601(701) 483-5259(701) 483-5259 Get Directions Write a Review

NPPES record last updated: January 4, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Therapeutic Life Changes, Llc NPPES

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

THERAPEUTIC LIFE CHANGES, LLC (NPI 1336385970) is a healthcare organization registered as a clinical in Dickinson, North Dakota and active in the NPI registry since January 2009. The organization lists Tamara Jo Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1336385970
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHERAPEUTIC LIFE CHANGES, LLC
Location Address634 9TH AVE WDickinson, ND 58601-4745
Mailing Address634 9th Ave WDickinson, ND 58601-4745 · (701) 483-5259 · Fax (701) 483-5259
Fax(701) 483-5259
Organization SubpartNo
Authorized OfficialTamara Jo AndersonPresident · (701) 483-5259
Enumeration DateJanuary 4, 2009
✔ NPI 1336385970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ND · 3000
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
634 9TH AVE W, Dickinson, ND 58601

Other Identifiers 1

Medicaid19242ND

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 Therapeutic Life Changes, LLC's NPI number?

The NPI number for Therapeutic Life Changes, LLC is 1336385970. It was assigned to this organization in the NPPES registry on January 4, 2009.

Where is Therapeutic Life Changes, LLC located?

Therapeutic Life Changes, LLC is located at 634 9th Ave W, Dickinson, ND 58601. The listed phone number is (701) 483-5259.

What is Therapeutic Life Changes, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Therapeutic Life Changes, LLC was last updated on January 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.