MEDICARE: LIFE CHANGING SOLUTIONS, 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	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1932434990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CHANGING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1792
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71166-1792
Country	:	US
Telephone Number	:	318-213-0904
Fax Number	:	318-213-0905

Provider Business Practice Location Address
First Line	:	315 S COLLEGE RD
Second Line	:	SUITE 242
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3212
Country	:	US
Telephone Number	:	337-205-6073
Fax Number	:	337-264-9282

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES E THROWER JR.
Credential	:	LCSW
Telephone Number	:	318-213-1395

Provider Enumeration Date	:	10/08/2009
Last Update Date	:	06/14/2023

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Directions to “LIFE CHANGING SOLUTIONS, LLC ” Practice Location

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