Transformative Life Center, Llc.

NPI 1215259874 - Psychologist - 103T00000X

NPI Details
NPI 1215259874
Enumeration Date 02/24/2010
Last Updated 08/25/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROSE MARIE ROSE
Position MANAGER
Phone (704) 927-5885
Fax
Practice Location
3719 LATROBE DR
SUITE #850
CHARLOTTE NC, 28211-4861, US
Phone (704) 927-5885
Fax
Business Location
11600 NORTH COMMUNITY HOUSE ROAD
SUITE #125
CHARLOTTE NC, 28277-1885, US
Phone (704) 927-5885
Fax
Toxanomy
Taxonomy Code 103T00000X
License State North Carolina
License Number 3909
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According to our database, Transformative Life Center, Llc. NPI is 1215259874, taxonomy code is 103T00000X and license number is 3909, license state is located at North Carolina. Transformative Life Center, Llc. physically located at 3719 Latrobe Dr, Charlotte NC, 28211-4861. NPI Number 1033115704 has the healthcare provider type.

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1215259874 NPI number is provided on an as is basis without warranty of any kind. 1215259874 is maintained by the National Plan & Provider Enumeration System. The contents of Transformative Life Center, Llc. are for informational purposes only.