{
"Npi": {
"NPI": "1134037666",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRANSFORMED TESTIMONY LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 366",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOWNSEND",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31331-0366",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "912-577-8821",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3667 ALTAMA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRUNSWICK",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31520-3631",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "912-577-8821",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/27/2026",
"LastUpdateDate": "08/27/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURNS",
"AuthorizedOfficialFirstName": "ROSEMARY",
"AuthorizedOfficialMiddleName": "AKWELEY",
"AuthorizedOfficialTitle": "CEO/THERAPIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LPC",
"AuthorizedOfficialTelephoneNumber": "912-577-8821",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}