THERAPEUTIC TRANSFORMATION, LLC (NPI# 1316408693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316408693 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC TRANSFORMATION, LLC |
| Practice Address |
700 University Ave # 105 Monroe LA 71209-9000 |
| Practice Telephone | 3182379948 |
| Practice Fax Number | 3183258749 |
| Mailing Telephone | 3182379948 |
| Mailing Fax Number | 3183258749 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | ALETHA A NELSON (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 3182379948 |
| Authorized Official Credential | LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 5010426 | 05 |
| Street Address |
700 UNIVERSITY AVE # 105 |
| City | MONROE |
| State | LA |
| Zip Code | 71209-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240028 | Cecilia Kieliszewski | Specialist/Technologist | 308 Warhawk Way Ulm Athletics Department, Monroe, LA 71209-0001 | 2020-09-17 |
| 1336505593 | Linda Bryan | Speech-Language Pathologist | University of Louisiana At Monroe, 700 University Ave, Monroe, LA 71209-0001 | 2016-01-04 |
| 1568851962 | University of Louisiana of Monroe | Family Medicine | 308 Warhawk Way, Monroe, LA 71209-0001 | 2015-01-22 |
| 1447440821 | Rhiannon Rebecca Neff | Specialist/Technologist | 308 Stadium Drive, Malone Stadium, Monroe, LA 71209-0001 | 2007-07-31 |
| 1992879845 | University of Louisiana At Monroe Student Health Services | Registered Nurse | 1140 University Ave, Monroe, LA 71209-0001 | 2006-11-20 |
| 1548700503 | Brian Pashkevich | Specialist/Technologist | 308 Warhawk Way, Monroe, LA 71209-0001 | 2017-02-24 |
| 1053734780 | Affinity Health Group, LLC | Nurse Practitioner | 1140 University Ave, Monroe, LA 71209-0001 | 2014-01-31 |
| 1245305465 | Yolanda Swillie Camper | Nurse Practitioner | 1140 University Ave, Monroe, LA 71209-0001 | 2006-11-22 |
| 1972990109 | Melissa Bynes Brooks | Respiratory Therapist, Certified | Brooks Home Sleep Studies LLC, Ulm, Stubbs Hall 203, 700 University Ave., Monroe, LA 71209-6435 | 2015-04-27 |
| 1427436930 | Brooks Home Sleep Studies, LLC | Clinic/Center | Brooks Home Sleep Studies LLC, Ulm, Stubbs Hall 203, 700 University Avenue, Monroe, LA 71209-6435 | 2015-05-16 |
| Find all providers in zip 71209 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708718 | Angels and Blessings LLC | Counselor | 106 Broadmoor St, Monroe, LA 71203-4124 | 2020-07-27 |
| 1982224457 | Michelle D Jones | Counselor | 1410 Jackson St, Monroe, LA 71202-2026 | 2020-04-24 |
| 1639702533 | Carissa Alexandra Sawyer | Counselor | 1401 Erin St, Monroe, LA 71201-4800 | 2020-02-19 |
| 1992342158 | Treasure Briggs | Counselor | 303 Colorado Dr, Monroe, LA 71203-7359 | 2019-12-06 |
| 1922644541 | Peaceful Soul Counseling and Group Therapy, Pllc | Counselor | 1501 N Charlotte Ave Ste B-127, Monroe, NC 28110-2525 | 2019-11-19 |
| 1407407182 | Ascension Therapeutic Services Inc | Counselor | 1736 Dickerson Blvd Ste 143, Monroe, NC 28110-2832 | 2019-09-24 |
| 1174182083 | Janna Carroll | Counselor | 1812 Glenmar Ave Ste C, Monroe, LA 71201-4974 | 2019-06-13 |
| 1184289704 | Rosa Maria De Prado Gonzalez | Counselor | 115 W Main St Ste 213, Monroe, WA 98272-1809 | 2019-05-08 |
| 1740754761 | Teia Anqwanette Coleman | Counselor | 1903 Stoney Point Cir, Monroe, NC 28112-5276 | 2019-01-12 |
| 1083188189 | Izanne Marais | Counselor | 1016 W Main St, Monroe, WA 98272-2018 | 2019-01-11 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on THERAPEUTIC TRANSFORMATION, LLC.
| 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.