Healthcare Provider Details

I. General information

NPI: 1407774615
Provider Name (Legal Business Name): THERAPEUTIC TRANSFORMATIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 CHURCH ST STE 11
HAYESVILLE NC
28904-7738
US

IV. Provider business mailing address

114 SOUTHFIELD DR
BRASSTOWN NC
28902-0317
US

V. Phone/Fax

Practice location:
  • Phone: 772-529-0372
  • Fax:
Mailing address:
  • Phone: 772-529-0372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. STACEY HELLOW
Title or Position: PROVIDER
Credential: LCSW
Phone: 772-529-0372