| Life Transformations, Llc | |
|
21 Pleasant St Ste 235 Newburyport MA 01950-2623 | |
| (802) 359-9139 | |
| (802) 359-3468 |
| Full Name | Life Transformations, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 21 Pleasant St Ste 235, Newburyport, Massachusetts |
| Authorized Official Name and Position | Holly R. Counts (OWNER) |
| Authorized Official Contact | 8023599139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transformations, Llc Po Box 15 Newburyport MA 01950-0015 Ph: (802) 359-9139 | Life Transformations, Llc 21 Pleasant St Ste 235 Newburyport MA 01950-2623 Ph: (802) 359-9139 |
| NPI Number | 1932386596 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 01/19/2019 |
| Medicare PECOS PAC ID | 2264519628 |
|---|---|
| Medicare Enrollment ID | O20190125002211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932386596 | NPI | - | NPPES |
| 2217863 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E7971 (Ohio) | Secondary |
| 103T00000X | Psychologist | 5320 (Ohio) | Primary |
| Provider Name | Holly Counts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659322949 PECOS PAC ID: 9931286382 Enrollment ID: I20190220001832 |
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