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General NPI Number Information
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NPI Number | 1467319228
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION LIFE COUNSELING & CONSULTING
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1191 S BOUNDARY RD
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City | RADCLIFF
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State | KY
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Zip | 40160-9185
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Country | US
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Telephone | 502-438-8361
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 N DIXIE AVE STE 111
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5555
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Country | US
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Telephone | 502-438-8361
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER, CO-OWNER
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Name | KASANDRA A HOGUE A KASANDRA A HOGUE
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Credential | LCSW
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Telephone | 502-419-0668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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