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General NPI Number Information
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NPI Number | 1760217277
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION SERVICE PLLC
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 206-483-0994
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Fax | 206-483-0118
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Provider Business Mailing Address
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Address Line | 2096 RODMAN BLVD
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City | GALLATIN
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State | TN
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Zip | 37066-4450
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Country | US
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Telephone | 615-438-1797
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Fax | 206-483-0118
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Authorized Official
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Title or Position | OWNER
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Name | JASMYNE LYONS
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Credential |
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Telephone | 206-483-0994
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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