Provider Demographics
NPI:1982875811
Name:CENTER FOR TRANSFORMATION AND HEALING
Entity type:Organization
Organization Name:CENTER FOR TRANSFORMATION AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:G
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:615-740-9208
Mailing Address - Street 1:1435 LECOMTE RD
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-4319
Mailing Address - Country:US
Mailing Address - Phone:615-740-9208
Mailing Address - Fax:615-740-9208
Practice Address - Street 1:1435 LECOMTE RD
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-4319
Practice Address - Country:US
Practice Address - Phone:615-740-9208
Practice Address - Fax:615-740-9208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1005101YA0400X
TN0000000539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty