1265592026 NPI number — TRANSFORMATIONS COUNSELING SERVICES LLP

Table of content: (NPI 1265592026)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265592026 NPI number — TRANSFORMATIONS COUNSELING SERVICES LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSFORMATIONS COUNSELING SERVICES LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265592026
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 41114
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREDRICKSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-898-6851
Provider Business Mailing Address Fax Number:
540-898-6398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 OLDE GREENWICH DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREDERICKSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-898-6851
Provider Business Practice Location Address Fax Number:
540-898-6398
Provider Enumeration Date:
12/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COCKRELL
Authorized Official First Name:
TERRY
Authorized Official Middle Name:
Authorized Official Title or Position:
THERAPIST PARTNER
Authorized Official Telephone Number:
540-898-6851

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  0701002237 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101Y00000X , with the licence number: 0701002487 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 122456 . This is a "VALUE OPTIONS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 352119 . This is a "MAMSI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 082355 . This is a "SENTARA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 086127 . This is a "SENTARA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2240716 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 5409730 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 214992 . This is a "BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 5409721 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6515 . This is a "CARE FIRST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 65340002 . This is a "CARE FIRST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 363052 . This is a "MAMSI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2228075 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 65340001 . This is a "CARE FIRST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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