Change of Life
NPI 1245199975 · Mental Health Clinic/Center (Including Community Mental Health Center) · Indianola, MS
Change of Life is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Indianola, MS (NPI 1245199975).
Provider details
- NPI number
- 1245199975
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Randle, Ceo(662) 207-3645
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-19
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is Change of Life's NPI number?
- Change of Life's National Provider Identifier (NPI) is 1245199975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Change of Life?
- Change of Life is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Change of Life located?
- Change of Life's practice location on file with NPPES is 411 Roosevelt St, Indianola, MS 38751-3141.
- What is Change of Life's phone number?
- The practice phone number listed in the NPPES registry for Change of Life is (662) 635-9972.
- Who is the authorized official for Change of Life?
- The authorized official listed on Change of Life's NPPES record is Pamela Randle, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Change of Life's NPI active?
- Yes — Change of Life's NPI (1245199975) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.