Specialized Transformation
Specialized Transformation is a Professional Counselor in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
Practice location Address checks out
2305 Corn Valley Rd 230-4BGrand Prairie, TX 75051-8804
Phone: (800) 601-9519
Fax: (866) 326-6765
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 64618 (TX) |
|---|
Record details
| NPI number | 1235495607 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanisha Guy — Onwers · (800) 601-9519 |
| NPI enumerated | April 10, 2012 |
| Last updated in NPPES | April 10, 2012 |
| Mailing address | 2305 Corn Valley Rd, 230-4b, Grand Prairie, TX 75051-8804 |
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