A TRANSFORMING LIFE WELLNESS CTR LLC NPI 1558801746

NPI Information

NPI: 1558801746
Provider Name: A TRANSFORMING LIFE WELLNESS CTR LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
781 BETA DR
SUITE K1
MAYFIELD VILLAGE, OH
ZIP 44143
Phone: (440) 565-7833
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A TRANSFORMING LIFE WELLNESS CTR LLC is a mental health counselor in Mayfield Village, OH. A TRANSFORMING LIFE WELLNESS CTR LLC NPI is 1558801746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

781 BETA DR
SUITE K1
MAYFIELD VILLAGE, OH
ZIP 44143-356
Phone: (440) 565-7833
Fax: (440) 684-9030

The provider's authorized official is Jonathan Richardson .
The authorized official title is Ceo and has the following contact phone number (216) 702-8526.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 3/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	E0500069	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	896347	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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