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General NPI Number Information
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NPI Number | 1104573252
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION COUNSELING, LLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 44539 STERLING HWY STE 209
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City | SOLDOTNA
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State | AK
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Zip | 99669-7960
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Country | US
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Telephone | 541-801-3730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2127
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City | SOLDOTNA
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State | AK
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Zip | 99669-2127
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Country | US
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Telephone | 907-921-1181
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Fax | 888-384-2730
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | PHILLIP LAZENBY
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Credential | LPC
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Telephone | 907-398-1161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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