| Transform You LLC | |
|
130 Howell Rd Ste D Tyrone GA 30290-2097 | |
| (404) 451-1631 | |
| Not Available |
| Full Name | Transform You LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 130 Howell Rd Ste D, Tyrone, Georgia |
| Authorized Official Name and Position | Olivia C Frazier (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4044511631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transform You LLC 595 Old Greenville Rd Fayetteville GA 30215-5930 Ph: (404) 451-1631 | Transform You LLC 130 Howell Rd Ste D Tyrone GA 30290-2097 Ph: (404) 451-1631 |
| NPI Number | 1508483389 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508483389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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