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Organization
THERAPEUTIC TRANSFORMATION, LLC
Active
Organization
THERAPEUTIC TRANSFORMATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETHA A NELSON LPC-S (LICENSED PROFESSIONAL COUNSELOR)
(318) 237-9948
Entity
Organization
Contact information
Practice address
700 UNIVERSITY AVE # 105, MONROE, LA 71209-9000
(318) 237-9948
(318) 325-8749
Mailing address
700 UNIVERSITY AVE # 105, MONROE, LA 71209-9000
(318) 237-9948
(318) 325-8749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5010426
—
LA
Enumeration date
03/28/2019
Last updated
03/28/2019
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