Healthcare Provider Details

I. General information

NPI: 1265592026
Provider Name (Legal Business Name): TRANSFORMATIONS COUNSELING SERVICES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 OLDE GREENWICH DRIVE
FREDERICKSBURG VA
22408
US

IV. Provider business mailing address

PO BOX 41114
FREDRICKSBURG VA
22404
US

V. Phone/Fax

Practice location:
  • Phone: 540-898-6851
  • Fax: 540-898-6398
Mailing address:
  • Phone: 540-898-6851
  • Fax: 540-898-6398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701002487
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701002237
License Number StateVA

VIII. Authorized Official

Name: MS. TERRY COCKRELL
Title or Position: THERAPIST PARTNER
Credential: LPC CSAC MAC
Phone: 540-898-6851