TRANSFORM YOU LLC (NPI# 1508483389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508483389 |
| Entity Type | Organization |
| Organization Name | TRANSFORM YOU LLC |
| Practice Address |
116 Park 42 Dr Ste A Locust Grove GA 30248-2566 |
| Mailing Address |
595 Old Greenville Rd Fayetteville GA 30215-5930 |
| Practice Telephone | 4044511631 |
| Mailing Telephone | 4044511631 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | MICHAEL GILLIARD II (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 4045496987 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
116 PARK 42 DR STE A |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586538 | Karen Cruess | Counselor | 101 Battlefield Rd, Locust Grove, VA 22508-5327 | 2018-04-27 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1548611312 | Ramona Mott | Counselor | 1263 Coan Dr, Locust Grove, GA 30248-2149 | 2016-06-23 |
| 1326388224 | Angela Leigh Craig | Counselor | 8 Price Dr E, Locust Grove, GA 30248-2615 | 2013-03-01 |
| 1982941225 | Timothy R Vinson | Counselor | 31644 Indiantown Rd, Locust Grove, VA 22508-2438 | 2013-01-07 |
| 1700011491 | Coral Brown Yienger | Counselor | 303 Confederate Dr, Locust Grove, VA 22508-5347 | 2009-05-25 |
| 1760532196 | Arless Richey Lewis | Counselor | 211 Peeksville Rd, Locust Grove, GA 30248-3138 | 2007-01-10 |
| 1093189664 | Pathways Counseling Clinic | Counselor | 211 Peeksville Rd, Locust Grove, GA 30248-3138 | 2015-11-19 |
| 1578861522 | Melissa G Garriss | Counselor | 4444 Germanna Hwy, Suite 190a, Locust Grove, VA 22508-2035 | 2011-02-28 |
| 1114122579 | Phyllis Byrne | Counselor | 4448 Germanna Hwy Ste 7c, Locust Grove, VA 22508-2012 | 2007-06-17 |
| Find all providers in LOCUST GROVE | ||||
| City | LOCUST GROVE |
| Zip Code | 30248 |
Please comment or provide details below to improve the information on TRANSFORM YOU 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.