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General NPI Number Information
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NPI Number | 1871858720
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONS CONSULTING & LEADERSHIP DEVELOPMENT, LLC
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 1898 CALHOUN ST SUITE 8A
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City | COLUMBIA
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State | SC
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Zip | 29201-2649
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Country | US
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Telephone | 803-463-4910
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Fax | 803-256-2519
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Provider Business Mailing Address
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Address Line | 1898 CALHOUN ST SUITE 8A
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City | COLUMBIA
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State | SC
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Zip | 29201-2649
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. LESLIE D BESSELLIEU
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Credential | PH.D.
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Telephone | 803-463-4910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 778
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License Number State | SC
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