Healthcare Provider Details

I. General information

NPI: 1083160972
Provider Name (Legal Business Name): HEALING TRANSFORMATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 3RD AVE N STE 203
BIRMINGHAM AL
35203-3830
US

IV. Provider business mailing address

129 FAIRLANE DR
PLEASANT GROVE AL
35127-2748
US

V. Phone/Fax

Practice location:
  • Phone: 205-434-0969
  • Fax: 888-964-2605
Mailing address:
  • Phone: 205-434-0969
  • Fax: 888-964-2605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberC2650A
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LYNDA CAMERON PRICE
Title or Position: CEO/OWNER
Credential: ED.S,LPC,AADC
Phone: 205-434-0969