Lifechangers Outreach
NPI 1790291334 · Substance Use Disorder Rehabilitation Clinic/Center · Kodak, TN
Lifechangers Outreach is a Substance Use Disorder Rehabilitation Clinic/Center organization in Kodak, TN (NPI 1790291334).
Provider details
- NPI number
- 1790291334
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Johnson, Executive Director(865) 805-0567
- License
- 1000000021300 (TN)
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
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Lifechangers Iop
Additional practice locations (1)
- 3677 Robert C. Byrd DriveBeckley, WV 25801Phone: (865) 805-0567
Registry dates
- Enumerated
- 2017-12-19
- Last updated
- 2018-09-25
Frequently asked questions
- What is Lifechangers Outreach's NPI number?
- Lifechangers Outreach's National Provider Identifier (NPI) is 1790291334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifechangers Outreach?
- Lifechangers Outreach is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lifechangers Outreach located?
- Lifechangers Outreach's practice location on file with NPPES is 2450 Winfield Dunn Pkwy, Kodak, TN 37764-2100.
- What is Lifechangers Outreach's phone number?
- The practice phone number listed in the NPPES registry for Lifechangers Outreach is (865) 805-0567.
- Who is the authorized official for Lifechangers Outreach?
- The authorized official listed on Lifechangers Outreach's NPPES record is Matthew Johnson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifechangers Outreach's NPI active?
- Yes — Lifechangers Outreach's NPI (1790291334) is active in the NPPES registry as of the last update on 2018-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.