# LIVING FOR A CHANGE LLC

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

## Provider details

- **NPI number:** 1245601020
- **Authorized official:** LISA LYNNE LOVE LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (850) 274-7299

## Contact information

- **Practice address:** 2045 LARAMIE AVE, CASPER, WY 82604
- **Practice address phone:** (850) 274-7299
- **Mailing address:** 2045 LARAMIE AVE, CASPER, WY 82604
- **Mailing address phone:** (850) 274-7299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1031 | WY | Yes |
| 1041C0700X | Clinical Social Worker | 13189 | FL | — |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 01/18/2017