Organization
LIFE CHANGE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEBLOND PHD, MBA (CEO)
(941) 400-9556
Entity
Organization
Contact information
Practice address
8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL 34202-2538
(941) 400-9556
Mailing address
8023 ROYAL BIRKDALE CIRCLE, LAKEWOOD RANCH, FL 34202-2538
(941) 400-9556
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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