Healthcare Provider Details
I. General information
NPI: 1235841644
Provider Name (Legal Business Name): TRANSFORMING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 EXECUTIVE DR STE E
LAFAYETTE IN
47905-4875
US
IV. Provider business mailing address
114 EXECUTIVE DR STE E
LAFAYETTE IN
47905-4875
US
V. Phone/Fax
- Phone: 317-628-9724
- Fax:
- Phone: 317-628-9724
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
M
GILBERT
Title or Position: CEO
Credential: LCSW
Phone: 317-628-9724