Radical Transformations Counseling Services Llc

LBN: Radical Transformations Counseling Services Llc
Radical Transformations Counseling Services Llc is an health care organization with primary practice located at 630 Old Orangeburg Rd Apt A , Lexington SC 29073-6927. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Radical Transformations Counseling Services Llc can be contacted via phone (803) 727-0658, or through Tucker, Deana Lenette via phone (803) 727-0658.

Contact Information

Primary practice address
630 Old Orangeburg Rd Apt A Lexington SC 29073-6927
Phone: (803) 727-0658
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Deana Lenette MA,CACII, LPC,MAC
Phone: (803) 727-0658

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 6111 South Carolina

Profile Details

NPI number 1083144125
LBN Legal business name Radical Transformations Counseling Services Llc
DBA Doing business as
Authorized official Tucker, Deana Lenette MA,CACII, LPC,MAC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2017
Last updated Jun 11th, 2019 - about 5 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 1083144125 NPPES
South Carolina MEDICAID PC1559

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