MEDICARE: LIFE CHANGES PSYCHIATRY

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1447107057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CHANGES PSYCHIATRY

Provider Business Mailing Address
First Line	:	625 SUNNY GLEN CT
Second Line	:
City	:	WOODLAND PARK
State	:	CO
Zip	:	80863-7006
Country	:	US
Telephone Number	:	785-643-7145
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 SUNNY GLEN CT
Second Line	:
City	:	WOODLAND PARK
State	:	CO
Zip	:	80863-7006
Country	:	US
Telephone Number	:	785-643-7145
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	TIFFANY TAYLOR
Credential	:	PMHNP
Telephone Number	:	785-643-7145

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

Similar Medicare Providers

1962024851 — JASMINE SCHWING OTR/L
Practice Location Address:

7784 INNOVATION PARK DR
BATON ROUGE, LA
70820-7006

Practice Phone: 225-343-4232
Practice Fax:

1649273947 — DR. AYAD A. FARJO M.D.
Practice Location Address:

2305 GENOA BUSINESS PARK DR STE 250
BRIGHTON, MI
48114-7006

Practice Phone: 810-494-2020
Practice Fax: 810-494-0127

1710946579 — DR. CHRISTOPHER MICHAEL GABRIELS D.C.
Practice Location Address:

3 SPRING SQUARE BUSINESS PARK
NEWBURGH, NY
12550-7006

Practice Phone: 845-564-0083
Practice Fax: 845-564-0094

1053342568 — BRIGHTON VISION CENTER, PLC
Practice Location Address:

2305 GENOA BUSINESS PARK DR STE 250
BRIGHTON, MI
48114-7006

Practice Phone: 810-494-2020
Practice Fax: 810-494-0127

1811032600 — MR. THOMAS HENRY ST. AMAND LIC. AC.
Practice Location Address:

68 MAIN ST , PARK SQUARE SUITE 9
KENNEBUNK, ME
04043-7006

Practice Phone: 207-985-0099
Practice Fax:

1962533349 — MARGARET LIECHTY SPRUNGER M.A., CCC
Practice Location Address:

7784 INNOVATION PARK DR
BATON ROUGE, LA
70820-7006

Practice Phone: 225-663-6985
Practice Fax: 225-343-4233

Directions to “LIFE CHANGES PSYCHIATRY ” 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.