<Unavail>

LBN: Transformation Wellness Llc
<Unavail> is an health care organization with primary practice located at 17951 Jefferson Park Rd Ste 100 , Middleburg Heights OH 44130-8439. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Transformation Wellness Llc can be contacted via phone (440) 879-8517, or through Digiandomenico, Jennifer Lynne via phone (440) 879-8517.

Contact Information

Primary practice address
17951 Jefferson Park Rd Ste 100 Middleburg Heights OH 44130-8439
Phone: (440) 879-8517
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Digiandomenico, Jennifer Lynne LPCC
Phone: (440) 879-8517

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1033854658
LBN Legal business name Transformation Wellness Llc
DBA Doing business as <Unavail>
Authorized official Digiandomenico, Jennifer Lynne LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2022
Last updated Nov 21st, 2022 - 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 1033854658 NPPES
Ohio MEDICAID 0000405

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