Provider Demographics
NPI:1669333209
Name:LIFEPATH TRANSFORMATIONAL COACHING
Entity type:Organization
Organization Name:LIFEPATH TRANSFORMATIONAL COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HYPNOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EVGENY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEREZIN
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:773-495-9659
Mailing Address - Street 1:915 E SPRUCE ST UNIT 617
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-7067
Mailing Address - Country:US
Mailing Address - Phone:773-495-9659
Mailing Address - Fax:
Practice Address - Street 1:915 E SPRUCE ST UNIT 617
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-7067
Practice Address - Country:US
Practice Address - Phone:773-495-9659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty