Change of Life
NPI #1245199975 in Indianola, Mississippi
Provider Information
- NPI Number
- 1245199975
- Entity Type
- Organization
- Organization Name
- Change of Life
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 19, 2026
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 411 ROOSEVELT ST
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-3141
- Phone
- (662) 635-9972
Authorized Official
- Name
- PAMELA LORRAINE RANDLE
- Title
- CEO
- Phone
- (662) 207-3645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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