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General NPI Number Information
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NPI Number | 1265316483
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIVE PROGRESSIONS LLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 300 CHURCH ST
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City | YALESVILLE
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State | CT
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Zip | 06492-2253
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Country | US
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Telephone | 203-265-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 123 CARRIAGE DR E
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City | MERIDEN
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State | CT
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Zip | 06450-7008
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Country | US
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Telephone | 203-265-7770
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORI WILLIAMS
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Credential | LPC, LADC
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Telephone | 657-477-8420
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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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