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TRANSFORMATIVE LIFE CENTER LLC. NPI 1316256555


NPI Information

NPI: 1316256555
Provider Name: TRANSFORMATIVE LIFE CENTER, LLC.

Doing Business As: SENIOR HEALTH SOURCE

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3440 TORINGDON WAY
SUITE 205
CHARLOTTE, NC
ZIP 28277
Phone: (877) 747-5520
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TRANSFORMATIVE LIFE CENTER, LLC. is a clinical psychologist in Charlotte, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. TRANSFORMATIVE LIFE CENTER, LLC. NPI is 1316256555. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Senior Health Source.

The provider's business location address is:

3440 TORINGDON WAY
SUITE 205
CHARLOTTE, NC
ZIP 28277-190
Phone: (877) 747-5520
Fax: (877) 539-5520

The provider's authorized official is Lewis Evans .
The authorized official title is Owner and has the following contact phone number (877) 747-5520.

The enumeration date for this NPI number is 10/6/2010 and was last updated on 10/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical3909NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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