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TOTAL LIFE CHANGE INC
NPI 1659973055
Community/Behavioral Health in Fresno, CA

Active since November 10, 2020
1300 E SHAW AVE STE 121, FRESNO, CA 93710(559) 479-9779 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Total Life Change Inc NPPES

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

TOTAL LIFE CHANGE INC (NPI 1659973055) is a healthcare organization registered as a community/behavioral health in Fresno, California and active in the NPI registry since November 2020. The organization lists Tod Harris, Program Director, as its authorized official.

NPPES Registry Identity

NPI1659973055
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTOTAL LIFE CHANGE INC
Location Address1300 E SHAW AVE STE 121Fresno, CA 93710-7903
Mailing Address1300 E Shaw Ave Ste 121Fresno, CA 93710-7903 · (559) 479-9779
Phone(559) 479-9779
Organization SubpartNo
Authorized OfficialTod HarrisProgram Director · (559) 479-9779
Enumeration DateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1659973055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1300 E SHAW AVE STE 121, Fresno, CA 93710
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2311857

Total Life Change, Inc · Fresno, CA
Expired · Sep 30, 2026
CLIA Number05D2311857
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorBrent Wilson
Laboratory Phone(559) 475-9779
Laboratory LocationTotal Life Change, Inc1300 E Shaw Ave #121, Fresno, CA 93710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Total Life Change Inc's NPI number?

The NPI number for Total Life Change Inc is 1659973055. It was assigned to this organization in the NPPES registry on November 10, 2020.

Where is Total Life Change Inc located?

Total Life Change Inc is located at 1300 E Shaw Ave Ste 121, Fresno, CA 93710. The listed phone number is (559) 479-9779.

What is Total Life Change Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Total Life Change Inc was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.