TRANSFORMATION360 NPI 1073026662

NPI Information

NPI: 1073026662
Provider Name: TRANSFORMATION360
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
5025 HOSTETLER AVE
LAS VEGAS, NV
ZIP 89131
Phone: (702) 628-1223
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TRANSFORMATION360 is an addiction (substance use disorder) counselor in Las Vegas, NV. TRANSFORMATION360 NPI is 1073026662. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5025 HOSTETLER AVE
LAS VEGAS, NV
ZIP 89131-981
Phone: (702) 628-1223

The provider's authorized official is Alice Delia Peterson .
The authorized official title is Owner and has the following contact phone number (702) 628-1223.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 11/20/2017.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	324500000X	Substance Abuse Rehabilitation Facility		No

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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