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General NPI Number Information
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NPI Number | 1528928603
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION CONSULTING GROUP
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1331 UNION AVE STE 1250
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City | MEMPHIS
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State | TN
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Zip | 38104-7552
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Country | US
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Telephone | 901-472-9867
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Fax | 901-452-9555
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Provider Business Mailing Address
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Address Line | 1331 UNION AVE STE 1250
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City | MEMPHIS
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State | TN
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Zip | 38104-7552
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Country | US
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Telephone | 901-472-9867
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Fax | 901-452-9555
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | MR. TIMOTHY L TERRY
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Credential | LPC
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Telephone | 901-472-9867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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