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LIFECHANGERS IOP
NPI 1790291334
Clinic/Center - Rehabilitation, Substance Use Disorder in Kodak, TN

Active since December 19, 2017
2450 WINFIELD DUNN PKWY, KODAK, TN 37764(865) 805-0567 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2018, Dec 19, 2017 (2 updates tracked since 2017).

About Lifechangers Iop NPPES

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

LIFECHANGERS IOP (NPI 1790291334) is a healthcare organization registered as a rehabilitation, substance use disorder in Kodak, Tennessee and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Beckley and lists Matthew Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790291334
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLIFECHANGERS OUTREACH
Location Address2450 WINFIELD DUNN PKWYKodak, TN 37764-2100
Mailing Address404 Holly CtSevierville, TN 37862-5314
Phone(865) 805-0567
Organization SubpartNo
Authorized OfficialMatthew JohnsonExecutive Director · (865) 805-0567
Enumeration DateDecember 19, 2017
Last NPPES UpdateSeptember 25, 20182 updates tracked since enumeration
✔ NPI 1790291334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in TN · 1000000021300
2450 WINFIELD DUNN PKWY, Kodak, TN 37764
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Other Names 1

Doing Business AsLifechangers Iop

Secondary Practice Location 1

Location 13677 Robert C. Byrd DriveBeckley, WV 25801 · Phone (865) 805-0567

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW JOHNSON M.A., M.DIV
Counselor (Addiction (Substance Use Disorder))
2450 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 805-0567
JANICE HENDRIX LCSW
Social Worker (Clinical)
2450 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 805-0567
RESTORATION HOUSE MINISTRIES
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2450 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 805-0567

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 Lifechangers Outreach's NPI number?

The NPI number for Lifechangers Outreach is 1790291334. It was assigned to this organization in the NPPES registry on December 19, 2017. The provider is doing business as Lifechangers Iop.

Where is Lifechangers Outreach located?

Lifechangers Outreach is located at 2450 Winfield Dunn Pkwy, Kodak, TN 37764. The listed phone number is (865) 805-0567.

What is Lifechangers Outreach's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Lifechangers Outreach was last updated on September 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.