| Transformations, Llc | |
|
9 Junction Dr W Ste 1 Glen Carbon IL 62034-2931 | |
| (618) 207-4018 | |
| (618) 205-3990 |
| Full Name | Transformations, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 Junction Dr W Ste 1, Glen Carbon, Illinois |
| Authorized Official Name and Position | Teresa Ann Visintine (OWNER) |
| Authorized Official Contact | 6185708315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations, Llc 9 Junction Dr W Ste 1 Glen Carbon IL 62034-2931 Ph: (618) 207-4018 | Transformations, Llc 9 Junction Dr W Ste 1 Glen Carbon IL 62034-2931 Ph: (618) 207-4018 |
| NPI Number | 1548639255 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548639255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149005801 (Illinois) | Primary |
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