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Organization
TRANSFORMATION BEHAVIORAL HEALTH PLLC
Active
Organization
TRANSFORMATION BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY VINEHOUT PSYD, RN, DBT-LBC (OWNER / CEO)
(815) 245-6669
Entity
Organization
Contact information
Practice address
1090 MCCONNELL RD, WOODSTOCK, IL 60098-7310
(815) 575-9675
Mailing address
PO BOX 1861, WOODSTOCK, IL 60098-1861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
05/02/2024
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