| Transformative Effects LLC | |
|
410c Se 3rd St Ste 108 Lees Summit MO 64063-2849 | |
| (660) 530-3086 | |
| (660) 530-3086 |
| Full Name | Transformative Effects LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 410c Se 3rd St Ste 108, Lees Summit, Missouri |
| Authorized Official Name and Position | Kyle Altenderfer (BUSINESS DIRECTOR) |
| Authorized Official Contact | 6605303086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Effects LLC 410c Se 3rd St Ste 108 Lees Summit MO 64063-2849 Ph: (660) 530-3086 | Transformative Effects LLC 410c Se 3rd St Ste 108 Lees Summit MO 64063-2849 Ph: (660) 530-3086 |
| NPI Number | 1104296193 |
|---|---|
| Provider Enumeration Date | 10/02/2015 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104296193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2014008259 (Missouri) | Primary |
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