Healthcare Provider Details

I. General information

NPI: 1659092252
Provider Name (Legal Business Name): TRANSFORMATIONAL HEALING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 CENTRAL AVE
BATESVILLE IN
47006
US

IV. Provider business mailing address

279 CENTRAL AVE
BATESVILLE IN
47006
US

V. Phone/Fax

Practice location:
  • Phone: 812-932-3999
  • Fax: 812-932-3998
Mailing address:
  • Phone: 812-932-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DARLING
Title or Position: PRESIDENT/OWNER
Credential: RN
Phone: 812-932-3999