# LIFE TRANSFORMER

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

## Provider details

- **NPI number:** 1144193970
- **Authorized official:** JOSEPHINE CHU LMFT (CEO)
- **Authorized official phone:** (626) 423-9193

## Contact information

- **Practice address:** 7365 CARNELIAN ST STE 232, RANCHO CUCAMONGA, CA 91730-1136
- **Practice address phone:** (626) 423-9193
- **Mailing address:** 12672 LIMONITE AVE STE 3E, EASTVALE, CA 92880-4208
- **Mailing address phone:** (626) 423-9193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2025
- **Last updated:** 09/26/2025