Provider Demographics
NPI:1831661115
Name:LIFE CHANGING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LIFE CHANGING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:318-213-1395
Mailing Address - Street 1:PO BOX 1792
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71166-1792
Mailing Address - Country:US
Mailing Address - Phone:318-213-0904
Mailing Address - Fax:318-213-0905
Practice Address - Street 1:6015 HEARNE AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-3803
Practice Address - Country:US
Practice Address - Phone:318-213-0904
Practice Address - Fax:318-213-0905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health