# A TRANSFORMING LIFE WELLNESS CTR LLC

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

## Provider details

- **NPI number:** 1558801746
- **Authorized official:** JONATHAN RICHARDSON LPCC (CEO)
- **Authorized official phone:** (216) 702-8526

## Contact information

- **Practice address:** 781 BETA DR, SUITE K1, MAYFIELD VILLAGE, OH 44143-2356
- **Practice address phone:** (440) 565-7833
- **Practice address fax:** (440) 684-9030
- **Mailing address:** 7085 W 130TH ST, \#201A, PARMA HEIGHTS, OH 44130-7851
- **Mailing address phone:** (440) 565-7833
- **Mailing address fax:** (440) 684-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | E0500069 | OH | Yes |

## Other

- **Enumeration date:** 03/07/2017
- **Last updated:** 03/07/2017