| Transformative Life Center, Llc. | |
|
3719 Latrobe Dr Suite #850 Charlotte NC 28211-4861 | |
| (704) 927-5885 | |
| Not Available |
| Full Name | Transformative Life Center, Llc. |
|---|---|
| Speciality | Psychologist |
| Location | 3719 Latrobe Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Rose Marie Leday (MANAGER) |
| Authorized Official Contact | 9804064393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Life Center, Llc. 11600 North Community House Road Suite #125 Charlotte NC 28277-1885 Ph: (704) 927-5885 | Transformative Life Center, Llc. 3719 Latrobe Dr Suite #850 Charlotte NC 28211-4861 Ph: (704) 927-5885 |
| NPI Number | 1215259874 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215259874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3909 (North Carolina) | Primary |
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