MEDICARE: TRANSFORM & RENEW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1528786381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORM & RENEW, PLLC

Provider Business Mailing Address
First Line	:	11550 W INTERSTATE 10 STE 155
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1035
Country	:	US
Telephone Number	:	210-201-4578
Fax Number	:

Provider Business Practice Location Address
First Line	:	11550 W INTERSTATE 10 STE 155
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1035
Country	:	US
Telephone Number	:	903-312-2818
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	AIMEE RHODES
Credential	:	LPC-S
Telephone Number	:	903-312-2818

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	01/19/2026

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Directions to “TRANSFORM & RENEW, PLLC ” Practice Location

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