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General NPI Number Information
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NPI Number | 1780357111
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONS CENTER FOR HEALING, INC
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2222 SHERIDAN RD
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City | NOBLESVILLE
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State | IN
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Zip | 46062-9720
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Country | US
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Telephone | 317-219-6673
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Fax | 317-203-8209
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Provider Business Mailing Address
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Address Line | 2222 SHERIDAN RD
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City | NOBLESVILLE
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State | IN
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Zip | 46062-9720
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Country | US
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Telephone | 317-219-6673
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Fax | 317-203-8209
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LACI GIBONEY
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Credential |
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Telephone | 317-502-2231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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