Spectrum Transformation Group

LBN: Spectrum Transformation Group, Llc
Spectrum Transformation Group is an health care organization with primary practice located at 221 Stonebridge Plaza Ave Ste C , North Chesterfield VA 23225-6972. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Spectrum Transformation Group, Llc can be contacted via phone (804) 378-6141, or through Moore, Cedric A via phone (804) 378-6141.

Contact Information

Primary practice address
221 Stonebridge Plaza Ave Ste C North Chesterfield VA 23225-6972
Phone: (804) 378-6141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moore, Cedric A
Phone: (804) 378-6141

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 161707010 Virginia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Virginia

Profile Details

NPI number 1639560741
LBN Legal business name Spectrum Transformation Group, Llc
DBA Doing business as Spectrum Transformation Group
Authorized official Moore, Cedric A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2015
Last updated Mar 24th, 2020 - about 4 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 1639560741 NPPES
Virginia Other 1174855985 NPI

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