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General NPI Number Information
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NPI Number | 1285589929
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Entity Type | Organization
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Legal Business Name | TRANSFORMED & RENEWED LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 835 VALLEY ST APT B
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City | VAUXHALL
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State | NJ
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Zip | 07088-1256
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Country | US
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Telephone | 973-841-3563
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Fax | 973-841-3563
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Provider Business Mailing Address
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Address Line | 835 VALLEY ST APT B
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City | VAUXHALL
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State | NJ
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Zip | 07088-1256
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Country | US
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Telephone | 973-841-3563
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Fax | 973-841-3563
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | AILEEMAH CANNON HORTON
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Credential | LPC
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Telephone | 973-841-3563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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