# TRANSFORMATION SERVICE PLLC

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

## Provider details

- **NPI number:** 1760217277
- **Authorized official:** JASMYNE LYONS (OWNER)
- **Authorized official phone:** (206) 483-0994

## Contact information

- **Practice address:** 522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0581
- **Practice address phone:** (206) 483-0994
- **Practice address fax:** (206) 483-0118
- **Mailing address:** 2096 RODMAN BLVD, GALLATIN, TN 37066-4450
- **Mailing address phone:** (615) 438-1797
- **Mailing address fax:** (206) 483-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 202D00000X | Integrative Medicine Physician | — | NULL | — |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/17/2025