# TRANSFORMATIVE LIFE CENTER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRANSCEND ED
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538595632
- **Authorized official:** DR. ROSE M LEDAY PHD (C.E.O.)
- **Authorized official phone:** (704) 708-4605

## Contact information

- **Practice address:** 134 W MATTHEWS ST, MATTHEWS, NC 28105-1305
- **Practice address phone:** (704) 708-4605
- **Mailing address:** 134 W MATTHEWS ST, MATTHEWS, NC 28105-1305
- **Mailing address phone:** (704) 708-4605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 3909 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2013
- **Last updated:** 05/30/2024