TRANSFORMATION LIFE CENTER NPI 1952555864

NPI Information

NPI: 1952555864
Provider Name: TRANSFORMATION LIFE CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2211 PEOPLES RD
SUITE 1
BELLEVUE, NE
ZIP 68005
Phone: (402) 991-2123
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TRANSFORMATION LIFE CENTER is a mental health counselor in Bellevue, NE. TRANSFORMATION LIFE CENTER NPI is 1952555864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2211 PEOPLES RD
SUITE 1
BELLEVUE, NE
ZIP 68005-670
Phone: (402) 991-2123
Fax: (402) 991-2172

The provider's authorized official is Linda Denise Stancil Dowden .
The authorized official title is Psychotherapist/substance Abuse/pas and has the following contact phone number (402) 991-2123.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 11/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		75258	ARIZONA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	739	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	3034	NEBRASKA	No
4	101YP2500X	Counselor	Professional	1569	NEBRASKA	No
5	101YM0800X	Counselor	Mental Health	121	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	273095	OTHER	NEBRASKA	COMPSYCH
2	85673	OTHER	NEBRASKA	BC/BS/TRICARE
3	554979000	OTHER	NEBRASKA	MAGELLAN
4	10025624700	MEDICAID	NEBRASKA
5	10024948100	MEDICAID	NEBRASKA

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

NPI Synchronization or Removal

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