# LIFESTYLE TRANSITIONS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184226490
- **Authorized official:** MRS. LISA MICHELLE HOLLOWAY OT (OWNER)
- **Authorized official phone:** (817) 891-3255

## Contact information

- **Practice address:** 9328 WOOD DUCK DR, FORT WORTH, TX 76118-7784
- **Practice address phone:** (817) 891-3255
- **Practice address fax:** (682) 253-2366
- **Mailing address:** 9328 WOOD DUCK DR, FORT WORTH, TX 76118-7784
- **Mailing address phone:** (682) 253-2366
- **Mailing address fax:** (817) 537-2510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 03/17/2024