MEDICARE: LIFECHANGING COUNSELING PA

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	0701003634	VA
2	101YM0800X	Mental Health Counselor	MH 11424	FL

General Provider Information

NPI Number	:	1982633673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECHANGING COUNSELING PA

Provider Business Mailing Address
First Line	:	6237 PRESIDENTIAL CT STE 110
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3508
Country	:	US
Telephone Number	:	239-243-8098
Fax Number	:	239-482-5335

Provider Business Practice Location Address
First Line	:	6237 PRESIDENTIAL CT STE 110
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3508
Country	:	US
Telephone Number	:	239-243-8098
Fax Number	:	239-482-5335

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	MS. JAMA THURMAN
Credential	:	LMHC
Telephone Number	:	239-243-8098

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	04/04/2013

Similar Medicare Providers

1407020092 — JUDITH ANNETTE ANDERSON LMHC
Practice Location Address:

6237 PRESIDENTIAL CT STE B
FORT MYERS, FL
33919-3508

Practice Phone: 239-433-1211
Practice Fax: 239-482-5335

1578737417 — MRS. PATRICIA K DISERIO M.S.
Practice Location Address:

6237 PRESIDENTIAL CT STE B
FORT MYERS, FL
33919-3508

Practice Phone: 239-433-1211
Practice Fax: 239-482-5335

1164999561 — ALEXIS HALEY-ECHO FISCHER
Practice Location Address:

6237 PRESIDENTIAL CT STE 110
FORT MYERS, FL
33919-3508

Practice Phone: 239-427-5437
Practice Fax:

1083258370 — LIFE BALANCE COUNSELING, LLC
Practice Location Address:

6237 PRESIDENTIAL CT STE 110
FORT MYERS, FL
33919-3508

Practice Phone: 239-312-5352
Practice Fax: 239-230-3029

1598355067 — ANDREA D GRESS MSW, LCSW
Practice Location Address:

6237 PRESIDENTIAL CT STE 110
FORT MYERS, FL
33919-3508

Practice Phone: 239-451-3221
Practice Fax:

1639817471 — KANISHA GRAHAM
Practice Location Address:

6237 PRESIDENTIAL CT STE 140
FORT MYERS, FL
33919-3508

Practice Phone: 877-202-3530
Practice Fax: 877-772-5877

Directions to “LIFECHANGING COUNSELING PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.