Healthcare Provider Details

I. General information

NPI: 1912889122
Provider Name (Legal Business Name): TRANSFORMATION COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E ENTERPRISE AVE STE 333
APPLETON WI
54913-7889
US

IV. Provider business mailing address

6102 WHITE PINE WAY
FITCHBURG WI
53719-5143
US

V. Phone/Fax

Practice location:
  • Phone: 608-509-4899
  • Fax:
Mailing address:
  • Phone: 608-509-4899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRITTNI BOWIE
Title or Position: OWNER
Credential: LPC, LMHC
Phone: 608-509-4899