| A Transforming Life Wellness Ctr Llc | |
|
3530 Warrensville Center Rd Suite 102 Shaker Hts OH 44122-5278 | |
| (216) 702-8526 | |
| Not Available |
| Full Name | A Transforming Life Wellness Ctr Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3530 Warrensville Center Rd, Shaker Hts, Ohio |
| Authorized Official Name and Position | Jonathan Richardson (CLINICAL COUNSELOR/CEO) |
| Authorized Official Contact | 2167028526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Transforming Life Wellness Ctr Llc 3530 Warrensville Center Rd Suite 102 Shaker Hts OH 44122-5278 Ph: (216) 702-8526 | A Transforming Life Wellness Ctr Llc 3530 Warrensville Center Rd Suite 102 Shaker Hts OH 44122-5278 Ph: (216) 702-8526 |
| NPI Number | 1154571800 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154571800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E0500069 (Ohio) | Primary |
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