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Organization
TRANSFORMATION WELLNESS LLC
Active
Organization
TRANSFORMATION WELLNESS LLC
Active
Other names
Stella Luna Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNNE DIGIANDOMENICO LPCC (OWNER)
(440) 879-8517
Entity
Organization
Contact information
Practice address
17951 JEFFERSON PARK RD STE 100, MIDDLEBURG HEIGHTS, OH 44130-8439
(440) 879-8517
Mailing address
17951 JEFFERSON PARK RD STE 100, MIDDLEBURG HEIGHTS, OH 44130-8439
(440) 879-8517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000405
—
OH
Enumeration date
04/28/2022
Last updated
11/21/2022
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