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General NPI Number Information
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NPI Number | 1154966398
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONS CENTER FOR HEALTH WELLNESS LLC
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 2170 SANDY BEACH ROAD
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City | SOUTH BOSTON
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State | VA
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Zip | 24592
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Country | US
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Telephone | 336-543-8123
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 HORSESHOE TRL
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City | ALTON
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State | VA
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Zip | 24520-3084
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Country | US
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Telephone | 336-543-8123
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SHEREL LAWSON
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Credential | MS, LPC
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Telephone | 336-543-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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