Healthcare Provider Details

I. General information

NPI: 1104740034
Provider Name (Legal Business Name): TRANSPARENTING LIVES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 DUNN AVE STE 301
JACKSONVILLE FL
32218-6427
US

IV. Provider business mailing address

3450 DUNN AVE STE 301
JACKSONVILLE FL
32218-6427
US

V. Phone/Fax

Practice location:
  • Phone: 904-844-6113
  • Fax:
Mailing address:
  • Phone: 904-844-6113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: MRS. LA SHAWN RENEE COLEMAN
Title or Position: CEO
Credential: CASE COORDINATOR
Phone: 904-844-6113