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General NPI Number Information
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NPI Number | 1902274020
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIVE WELLNESS, LLC
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Dates
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Enumeration Date | 09/05/2015
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 815 S SOUTH ST
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City | WILMINGTON
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State | OH
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Zip | 45177-2755
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Country | US
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Telephone | 855-553-9355
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Fax | 855-682-1823
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Provider Business Mailing Address
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Address Line | 815 S SOUTH ST
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City | WILMINGTON
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State | OH
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Zip | 45177-2755
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Country | US
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Telephone | 855-553-9355
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Fax | 855-682-1823
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. MONICA M HILL
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Credential | LPC
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Telephone | 855-553-9355
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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