OrganizationActive
Life Changes, LLC
NPI 1245829787 · Mental Health Counselor · Lake Mary, FL
Provider details
- NPI number
- 1245829787
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberley Walker, Owner/Provider(407) 376-0991
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES 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
255 Primera Blvd Ste 160
Lake Mary, FL 32746-2168
Phone: (407) 376-0991
Fax: (321) 234-8272
Street-level locationGet directions
Mailing address
9300 Conroy Windermere Rd # 3341
Windermere, FL 34786-9997
Registry dates
- Enumerated
- 2021-01-11
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.