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NPI Code Detail

MEDICARE: TRANSFORMATIVE WELLNESS, LLC

MEDICARE: TRANSFORMATIVE WELLNESS, 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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3106H00000XMarriage & Family Therapist
4101Y00000XCounselor

Other Identifiers

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

General Provider Information

NPI Number : 1902274020
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSFORMATIVE WELLNESS, LLC
Provider Business Mailing Address
First Line : 815 S SOUTH ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2755
Country : US
Telephone Number : 855-553-9355
Fax Number : 855-682-1823
Provider Business Practice Location Address
First Line : 815 S SOUTH ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2755
Country : US
Telephone Number : 855-553-9355
Fax Number : 855-682-1823
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : MS. MONICA M HILL
Credential : LPC
Telephone Number : 855-553-9355
Provider Enumeration Date : 09/05/2015
Last Update Date : 05/10/2017

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Directions to “TRANSFORMATIVE WELLNESS, LLC ” Practice Location

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