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Organization
TRANSFORM WITHIN WELLNESS CENTER, LLC
Active
Organization
TRANSFORM WITHIN WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R. VOLKMANN LICSW, LADC (OWNER)
(651) 442-8214
Entity
Organization
Contact information
Practice address
700 COMMERCE DR STE 295, WOODBURY, MN 55125-9245
(651) 442-8214
Mailing address
700 COMMERCE DR STE 295, WOODBURY, MN 55125-9245
(651) 442-8214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301542
MN
1041C0700X
Clinical Social Worker
Primary
15251
MN
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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