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NPI Code Detail

MEDICARE: INTUITIVE TRANSFORMATIONS, LLC

MEDICARE: INTUITIVE TRANSFORMATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1235945122
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTUITIVE TRANSFORMATIONS, LLC
Provider Business Mailing Address
First Line : 4603 S SHAMROCK RD
Second Line :
City : TAMPA
State : FL
Zip : 33611-3110
Country : US
Telephone Number : 727-851-2090
Fax Number :
Provider Business Practice Location Address
First Line : 5005 W LAUREL ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-3886
Country : US
Telephone Number : 727-851-2090
Fax Number :
Authorized Official
Title or Position : OWNER/ PRIMARY THERAPIST
Name : MR. BRILLION ADAMS
Credential : LCSW
Telephone Number : 727-851-2090
Provider Enumeration Date : 12/05/2024
Last Update Date : 12/05/2024

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Directions to “INTUITIVE TRANSFORMATIONS, LLC ” Practice Location

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