Transformative Beginnings, Llc | |
785 Wall St # 200 O Fallon IL 62269-1959 | |
(618) 367-2194 | |
Not Available |
Full Name | Transformative Beginnings, Llc |
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Speciality | Social Worker - Clinical |
Location | 785 Wall St # 200, O Fallon, Illinois |
Authorized Official Name and Position | Jennifer Maria Coleman (PSYCHOTHERAPIST) |
Authorized Official Contact | 6182123124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Transformative Beginnings, Llc 1452 Schwarz Meadow Dr O Fallon IL 62269-6709 Ph: (618) 567-9433 | Transformative Beginnings, Llc 785 Wall St # 200 O Fallon IL 62269-1959 Ph: (618) 367-2194 |
NPI Number | 1497311716 |
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Provider Enumeration Date | 05/13/2019 |
Last Update Date | 05/13/2019 |
Identifier | Type | State | Issuer |
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1497311716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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