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General NPI Number Information
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NPI Number | 1457148918
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Entity Type | Organization
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Legal Business Name | TRANSFORMED COUNSELING, LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 310 RICHMOND ST
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2709
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Country | US
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Telephone | 606-256-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 118 RAVENWOOD RD
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City | ORLANDO
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State | KY
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Zip | 40460-7501
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Country | US
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Telephone | 606-416-2782
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER DALE MCGUIRE
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Credential |
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Telephone | 606-416-2782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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