Healthcare Provider Details

I. General information

NPI: 1063151009
Provider Name (Legal Business Name): TRANSFORMATIVE HEALING COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2022
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MECHANIC ST
WINDSOR CT
06095-2545
US

IV. Provider business mailing address

PO BOX 320117
HARTFORD CT
06132-0117
US

V. Phone/Fax

Practice location:
  • Phone: 959-710-0251
  • Fax:
Mailing address:
  • Phone: 959-710-0251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KESHIA FRANCIS
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 959-710-0251