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General NPI Number Information
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NPI Number | 1871786509
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONAL HEALING LLC
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 420 W 5TH ST STE 201
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City | HASTINGS
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State | NE
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Zip | 68901
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Country | US
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Telephone | 402-705-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 420 W 5TH ST STE 201
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City | HASTINGS
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State | NE
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Zip | 68901
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Country | US
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Telephone | 402-705-6113
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDY MELIUS
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Credential | MSLIMHP
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Telephone | 402-705-6713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 286
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License Number State | NE
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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 | 136
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 491
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 066
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 19273
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 19273
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 19273
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License Number State | NE
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