| Transformative Connections Llc | |
|
88 Guindon Blvd Fond Du Lac WI 54935-5866 | |
| (920) 318-3282 | |
| Not Available |
| Full Name | Transformative Connections Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 88 Guindon Blvd, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Annamay Breann Payten (THERAPIST/OWNER) |
| Authorized Official Contact | 9203183282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Connections Llc 88 Guindon Blvd Fond Du Lac WI 54935-5866 Ph: (920) 318-3282 | Transformative Connections Llc 88 Guindon Blvd Fond Du Lac WI 54935-5866 Ph: (920) 318-3282 |
| NPI Number | 1093537367 |
|---|---|
| Provider Enumeration Date | 10/29/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093537367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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