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Organization
TRANSFORMATION 3CS, LLC
Active
Organization
TRANSFORMATION 3CS, LLC
Active
Other names
Sandra V. Phillips
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA VARNER PHILLLIPS LPC (CEO)
(706) 750-4275
Entity
Organization
Contact information
Practice address
3711 EXECUTIVE CENTER DR, STE 202 #6, MARTINEZ, GA 30907-0951
(706) 750-4275
(706) 432-9095
Mailing address
PO BOX 9443, AUGUSTA, GA 30916-9443
(706) 750-4275
(706) 432-9095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC006436
GA
101YM0800X
Mental Health Counselor
Primary
LPC006436
GA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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