Psychiatry & Neurology, Psychiatry
LIFE CHANGE ASSOCIATES, PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1598077562 · enumerated 2010-07-07 · record updated 2013-11-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. DERIC RAVSTEN DO, Owner · (208) 233-5433
Addresses and phones
- Practice location 1777 E CLARK ST, SUITE 330, POCATELLO, ID, 83201-3357 (208) 233-5433 Fax (877) 284-2783 Google Maps Apple Maps OpenStreetMap
- Mailing address 1777 E CLARK ST, SUITE 330, POCATELLO, ID, 83201-3357 (208) 233-5433 Fax (877) 284-2783 Google Maps Apple Maps OpenStreetMap
Specialties
- Counselor, Mental Health 101YM0800X
- Physician Assistant 363A00000X
- Psychiatry & Neurology, Psychiatry 2084P0800X · Primary
In this directory
ID Bannock County Pocatello Psychiatry & Neurology, Psychiatry
Locations and evidence
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Practice location
POCATELLO, ID, 832013357
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.