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NPI Code Detail

MEDICARE: ELEMENTAL TRANSFORMATIONS, LLC

MEDICARE: ELEMENTAL TRANSFORMATIONS, LLC
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1528910601
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEMENTAL TRANSFORMATIONS, LLC
Provider Business Mailing Address
First Line : 1202 4TH AVE
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-2018
Country : US
Telephone Number : 319-535-3479
Fax Number :
Provider Business Practice Location Address
First Line : 1202 4TH AVE
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-2018
Country : US
Telephone Number : 319-535-3479
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAMIE TRANA
Credential : LMFT
Telephone Number : 319-535-3479
Provider Enumeration Date : 02/11/2026
Last Update Date : 03/02/2026

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Directions to “ELEMENTAL TRANSFORMATIONS, LLC ” Practice Location

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