TRANSFORMATIVE LIFE CENTER, LLC. (NPI# 1215259874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215259874 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIVE LIFE CENTER, LLC. |
| Practice Address |
3719 Latrobe Dr Suite #850 Charlotte NC 28211-4861 |
| Mailing Address |
11600 North Community House Road Suite #125 Charlotte NC 28277-1885 |
| Practice Telephone | 7049275885 |
| Mailing Telephone | 7049275885 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | DR. ROSE MARIE LEDAY (MANAGER) |
| Authorized Official Telephone | 9804064393 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3909 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316256555 | Transformative Life Center, LLC. | Psychologist | 3440 Toringdon Way, Suite 205, Charlotte, NC 28277-3190 | 2010-10-06 |
| Street Address |
3719 LATROBE DR SUITE #850 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609948595 | Leah Christine Barnes | Counselor | 3719 Latrobe Dr, Suite 820, Charlotte, NC 28211-4861 | 2006-11-15 |
| 1598157125 | Daniela Farenga | Marriage & Family Therapist | 3719 Latrobe Dr, Charlotte, NC 28211-4861 | 2015-02-18 |
| 1467857110 | Mccloud Acosta Clinical Services Pllc | Counselor | 3719 Latrobe Dr, Suite 820, Charlotte, NC 28211-4861 | 2014-10-23 |
| 1366853129 | Giovanna Gomez | Social Worker | 3719 Latrobe Dr, Suite 820, Charlotte, NC 28211-4861 | 2014-05-14 |
| 1336491372 | James William Mcmullen II | Counselor | 3719 Latrobe Dr, Suite 830, Charlotte, NC 28211-4861 | 2012-10-15 |
| 1821349259 | Emily Ann Fitch Wolfe | Social Worker | 3719 Latrobe Dr, #830, Charlotte, NC 28211-4861 | 2012-09-25 |
| 1871860221 | Jennifer Marie Rubin | Social Worker | 3719 Latrobe Dr, Suite 830, Charlotte, NC 28211-4861 | 2011-11-29 |
| 1346558905 | Tamara Lynn Ford | Counselor | 3719 Latrobe Dr, Suite 850, Charlotte, NC 28211-4861 | 2010-09-16 |
| 1679808802 | Essence of Care, Inc | Community/Behavioral Health | 3719 Latrobe Dr, Suite 820, Charlotte, NC 28211-4861 | 2009-10-06 |
| 1457592578 | Kimberly Logan Hamrick | Counselor | 3719 Latrobe Dr, Suite 830, Charlotte, NC 28211-4861 | 2009-03-19 |
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|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1447721055 | Alexis Brightman, Pllc | Psychologist | 1914 J N Pease Pl Ste 172, Charlotte, NC 28262-4504 | 2018-12-07 |
| 1366920712 | Robbie Mae & Associates, LLC | Psychologist | 4020 Lakota Ct, Charlotte, NC 28269-4074 | 2018-07-29 |
| 1295222347 | Kathleen Lucey Hack | Psychologist | 9617 Runswyck Ct, Charlotte, NC 28269-8393 | 2018-04-15 |
| 1285133405 | Jill Pratt | Psychologist | 447 S Sharon Amity Rd Ste 140, Charlotte, NC 28211-2888 | 2018-02-02 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1093137093 | Epiphany Integrated Care Services, LLC | Psychologist | 4921 Albemarle Rd, Suite 203, Charlotte, NC 28205-6654 | 2014-01-09 |
| 1568891588 | Terrence Schofield | Psychologist | 6060 Piedmont Row Dr S Ste 120, Charlotte, NC 28287-2801 | 2013-11-12 |
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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.