MEDICARE: LOVING CHANGES AND IDEASINCORPORATED, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH7838	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609298108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING CHANGES AND IDEASINCORPORATED, LLC

Provider Business Mailing Address
First Line	:	1880 EAST WEST PARKWAY 8159
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003
Country	:	US
Telephone Number	:	321-370-0088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 EAST WEST PARKWAY 8159
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003
Country	:	US
Telephone Number	:	904-305-8734
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE OWNER THE
Name	:	MS. MARITZA ARZA
Credential	:	LMHC
Telephone Number	:	321-370-0088

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	06/16/2025

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