A Life Transformation Center, Llc

LBN: A Life Transformation Center, Llc
A Life Transformation Center, Llc is an health care organization with primary practice located at 1531 E Bradford Pkwy Ste 304 , Springfield MO 65804-6539. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. A Life Transformation Center, Llc can be contacted via phone (417) 888-0861, or through Courtney, Renae M via phone (417) 888-0861.

Contact Information

Primary practice address
1531 E Bradford Pkwy Ste 304 Springfield MO 65804-6539
Phone: (417) 888-0861
Fax: (417) 888-0857
Website:
Map and Directions
Authorized official contact:
Name: Courtney, Renae M PSY.D.
Phone: (417) 888-0861

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2010032220 Missouri

Profile Details

NPI number 1396020095
LBN Legal business name A Life Transformation Center, Llc
DBA Doing business as
Authorized official Courtney, Renae M PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396020095 NPPES
Missouri Other 1033427810 NPI

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