| Path To Transformation Llc | |
|
271 W Short St Ste 410 Lexington KY 40507-1213 | |
| (502) 322-7071 | |
| Not Available |
| Full Name | Path To Transformation Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 271 W Short St Ste 410, Lexington, Kentucky |
| Authorized Official Name and Position | Alexis Crook (OWNER) |
| Authorized Official Contact | 5023227071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Transformation Llc 16802 Polo Fields Ln Louisville KY 40245-4456 Ph: (502) 322-7071 | Path To Transformation Llc 271 W Short St Ste 410 Lexington KY 40507-1213 Ph: (502) 322-7071 |
| NPI Number | 1720779093 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720779093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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