# TRANSFORMATIVE TREK THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124873120
- **Authorized official:** PAIGE ASHLEY MARKHAM UEBELE (OWNER)
- **Authorized official phone:** (352) 316-7204

## Contact information

- **Practice address:** 6451 SE 180TH AVE, MORRISTON, FL 32668-5257
- **Practice address phone:** (352) 316-7204
- **Mailing address:** 21 HOLLY BERRY RD, FREDERICKSBURG, VA 22406-5340
- **Mailing address phone:** (352) 316-7204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 01/07/2025