Innercore Transformation

LBN: Innercore Transformation
Innercore Transformation is an health care organization with primary practice located at 1403 Lobo Trl , Snowflake AZ 85937-5465. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Innercore Transformation can be contacted via phone (190) 777-5874, or through Rasmussen, Linda A via phone (907) 775-8742.

Contact Information

Primary practice address
1403 Lobo Trl Snowflake AZ 85937-5465
Phone: (190) 777-5874
Fax: (888) 265-5270
Website:
Map and Directions
Authorized official contact:
Name: Rasmussen, Linda A Licensed Clinical Social Worker (LCSW)
Phone: (907) 775-8742

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1982454377
LBN Legal business name Innercore Transformation
DBA Doing business as
Authorized official Rasmussen, Linda A Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2024
Last updated Mar 26th, 2024 - about last year

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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