| Authentic Transformations Llc | |
|
1112 11th St Ste 301 Bellingham WA 98225-6654 | |
| (360) 225-7073 | |
| Not Available |
| Full Name | Authentic Transformations Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1112 11th St Ste 301, Bellingham, Washington |
| Authorized Official Name and Position | Marcel Anthony Van Eerd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4802775919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Transformations Llc 3617 Westhills Pl Bellingham WA 98226-4174 Ph: (480) 277-5919 | Authentic Transformations Llc 1112 11th St Ste 301 Bellingham WA 98225-6654 Ph: (360) 225-7073 |
| NPI Number | 1053855734 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053855734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY60611766 (Washington) | Primary |
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