TRANSFORMATIONAL PSYCHOTHERAPY LLC (NPI# 1114570033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114570033 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIONAL PSYCHOTHERAPY LLC |
| Practice Address |
249 Water St Rm 201 Excelsior MN 55331-1824 |
| Mailing Address |
5385 Shady Hills Cir Excelsior MN 55331-9157 |
| Practice Telephone | 6127103874 |
| Mailing Telephone | 6127103874 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | KAREN ILVEDSON (PSYCHOTHERAPIST, OWNER) |
| Authorized Official Telephone | 6127103874 |
| Authorized Official Credential | MA, LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
249 WATER ST RM 201 |
| City | EXCELSIOR |
| State | MN |
| Zip Code | 55331-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609432798 | Christina Mccullough Dds Pllc | Dentist | 2455 Shadywood Road, Orono, MN 55331 | 2019-05-14 |
| 1558854042 | Melissa Ann Morency | Massage Therapist | 23505 County Road 19, Excelsior, MN 55331 | 2018-06-11 |
| 1801388475 | Susanne B Kanter | Physical Therapist | 23490 Mn-7, Shorewood, MN 55331 | 2018-05-30 |
| 1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
| 1467893511 | Allison Scott | Pharmacist | 23800 Mn Hwy 7, Shorewood, MN 55331 | 2013-07-17 |
| 1417204751 | Minnetonka Psychology and Wellness | Marriage & Family Therapist | 19765 Highway 7, Suite 203, Shorewood, MN 55331 | 2012-08-06 |
| 1952623456 | Virginia Lee Sievers Green | Occupational Therapist | 464 2nd Street, Suite 105, Excelsior, MN 55331 | 2010-02-24 |
| 1497980163 | Harmonia Health Care | Home Health | 3121 Pillsbury Ave S, Minneapolis, MN 55331 | 2009-05-24 |
| 1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
| 1922295658 | Nueva Era Healthcare Services, Inc. | Home Health | 5667 Wood Duck Circle, Shorewood, MN 55331 | 2007-09-26 |
| Find all providers in zip 55331 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1174123376 | Como Behavioral Care LLC | Clinic/Center | 441 Old Highway 8 Nw Ste 213, New Brighton, MN 55112-3235 | 2020-10-27 |
| 1962000646 | Life Care Health Services LLC | Clinic/Center | 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 | 2020-10-14 |
| 1639788755 | Cazares Professional Therapy | Clinic/Center | 166 Farrington St, Saint Paul, MN 55102-2104 | 2020-07-24 |
| 1770100877 | Halabrin Marty and Associates | Clinic/Center | 12760 Aberdeen St Ne Ste 2122760, Blaine, MN 55449-5845 | 2020-07-06 |
| 1891312732 | Healthy Balance Psychology, LLC | Clinic/Center | 1550 Sunset Dr Sw, Owatonna, MN 55060-3854 | 2020-06-26 |
| 1134745300 | Quality Care Counseling Services LLC | Clinic/Center | 4141 Central Ave Ne Ste 250, Columbia Heights, MN 55421-3611 | 2020-06-23 |
| 1780207829 | Amazing You Therapy, LLC | Clinic/Center | 421 1st Ave Sw Ste 300w, Rochester, MN 55902-3389 | 2020-05-23 |
| 1609499813 | Bright Place LLC | Clinic/Center | 3835 Bakken Blvd, Columbia Heights, MN 55421-5056 | 2020-05-21 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.