MEDICARE: A TRANSFORMING LIFE WELLNESS CTR 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
1	101YM0800X	Mental Health Counselor	E0500069	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558801746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TRANSFORMING LIFE WELLNESS CTR LLC

Provider Business Mailing Address
First Line	:	7085 W 130TH ST
Second Line	:	#201A
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-7851
Country	:	US
Telephone Number	:	440-565-7833
Fax Number	:	440-684-9030

Provider Business Practice Location Address
First Line	:	781 BETA DR
Second Line	:	SUITE K1
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-2356
Country	:	US
Telephone Number	:	440-565-7833
Fax Number	:	440-684-9030

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN RICHARDSON
Credential	:	LPCC
Telephone Number	:	216-702-8526

Provider Enumeration Date	:	03/07/2017
Last Update Date	:	03/07/2017

Similar Medicare Providers

1568412187 — JODY L HEYMAN OT
Practice Location Address:

781 BETA DR , SUITE C
CLEVELAND, OH
44143-2356

Practice Phone: 440-460-0344
Practice Fax: 440-460-1767

1700950185 — MR. MICHAEL B LEPP PT
Practice Location Address:

781 BETA DR , SUITE C
CLEVELAND, OH
44143-2356

Practice Phone: 440-440-7111
Practice Fax: 440-460-1767

1598982852 — TETYANA M DAVIS LMT
Practice Location Address:

781 BETA DR , SUITE K
CLEVELAND, OH
44143-2356

Practice Phone: 216-374-2138
Practice Fax:

1538176045 — DR. GARY NEIL HERMAN D.D.S.
Practice Location Address:

12849 MAGNOLIA BLVD
VALLEY VILLAGE, CA
91607-2356

Practice Phone: 818-766-3777
Practice Fax: 818-766-0057

1649496282 — DR. JONATHAN DAVID PIVO D.D.S.
Practice Location Address:

12849 MAGNOLIA BLVD
VALLEY VILLAGE, CA
91607-2356

Practice Phone: 818-766-3777
Practice Fax:

1881343143 — DR. ALICE MARIE CARDONA DC
Practice Location Address:

2356 N HIGHWAY 7
HOT SPRINGS VILLAGE, AR
71909-9309

Practice Phone: 501-356-0655
Practice Fax:

Directions to “A TRANSFORMING LIFE WELLNESS CTR LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.