| Therapeutic Transformation, Llc | |
|
700 University Ave # 105 Monroe LA 71209-9000 | |
| (318) 237-9948 | |
| (318) 325-8749 |
| Full Name | Therapeutic Transformation, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 700 University Ave # 105, Monroe, Louisiana |
| Authorized Official Name and Position | Aletha A Nelson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3182379948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Transformation, Llc 700 University Ave # 105 Monroe LA 71209-9000 Ph: (318) 237-9948 | Therapeutic Transformation, Llc 700 University Ave # 105 Monroe LA 71209-9000 Ph: (318) 237-9948 |
| NPI Number | 1316408693 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316408693 | NPI | - | NPPES |
| 5010426 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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