LIFE CHANGE CORP
NPI 1700697976
Clinic/Center - Urgent Care in Phoenix, AZ

Active since January 16, 2025
2995 W FAIRMOUNT AVE, PHOENIX, AZ 85017(602) 799-2757 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Change Corp NPPES

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

LIFE CHANGE CORP (NPI 1700697976) is a healthcare organization registered as an urgent care in Phoenix, Arizona and active in the NPI registry since January 2025. The organization lists Tlahjonte Hopson, Board Chairman, as its authorized official.

NPPES Registry Identity

NPI1700697976
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLIFE CHANGE CORP
Location Address2995 W FAIRMOUNT AVEPhoenix, AZ 85017-4614
Mailing Address4513 W Lodge DrLaveen, AZ 85339-7788 · (602) 799-2757 · Fax (480) 525-7974
Organization SubpartNo
Authorized OfficialTlahjonte HopsonBoard Chairman · (602) 799-2757
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
NPI 1700697976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2995 W FAIRMOUNT AVE, Phoenix, AZ 85017

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 Life Change Corp's NPI number?

The NPI number for Life Change Corp is 1700697976. It was assigned to this organization in the NPPES registry on January 16, 2025.

Where is Life Change Corp located?

Life Change Corp is located at 2995 W Fairmount Ave, Phoenix, AZ 85017. The listed phone number is (602) 799-2757.

What is Life Change Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Life Change Corp was last updated on January 6, 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.