| Transformative Trek Therapy Llc | |
|
6451 Se 180th Ave Morriston FL 32668-5257 | |
| (352) 316-7204 | |
| Not Available |
| Full Name | Transformative Trek Therapy Llc |
|---|---|
| Speciality | Health & Wellness Coach |
| Location | 6451 Se 180th Ave, Morriston, Florida |
| Authorized Official Name and Position | Paige Ashley Markham Uebele (OWNER) |
| Authorized Official Contact | 3523167204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Trek Therapy Llc 21 Holly Berry Rd Fredericksburg VA 22406-5340 Ph: (352) 316-7204 | Transformative Trek Therapy Llc 6451 Se 180th Ave Morriston FL 32668-5257 Ph: (352) 316-7204 |
| NPI Number | 1124873120 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Medicare PECOS PAC ID | 5890222483 |
|---|---|
| Medicare Enrollment ID | O20241220000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124873120 | NPI | - | NPPES |
| Provider Name | Paige Uebele |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982180485 PECOS PAC ID: 6709313398 Enrollment ID: I20241220000450 |
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