# CHANGING HOW I LIVE LIFE

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

## Provider details

- **NPI number:** 1487977583
- **Authorized official:** MISS LORI D. WILSON LCDC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (512) 385-4799

## Contact information

- **Practice address:** 1006 E YAGER LN, A 104, AUSTIN, TX 78753-7088
- **Practice address phone:** (512) 385-4799
- **Mailing address:** 1006 E. YAGER LANE, A 104, AUSTIN, TX 78753
- **Mailing address phone:** (512) 385-4799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | TX | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | 5006 | TX | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 09/14/2016