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Organization
TRANSFORMATION LIFE CENTER
Active
Organization
TRANSFORMATION LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA DENISE STANCIL DOWDEN NCC,LIMHP,LADC,LPC,L (PSYCHOTHERAPIST/SUBSTANCE ABUSE/PAS)
(402) 991-2123
Entity
Organization
Contact information
Practice address
2211 PEOPLES RD, SUITE 1, BELLEVUE, NE 68005-4670
(402) 991-2123
(402) 991-2172
Mailing address
2211 PEOPLES RD, SUITE 1, BELLEVUE, NE 68005-4670
(402) 991-2123
(402) 991-2172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
75258
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
739
NE
101YM0800X
Mental Health Counselor
Primary
121
NE
101YM0800X
Mental Health Counselor
3034
NE
101YP2500X
Professional Counselor
1569
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024948100
—
NE
05
—
10025624700
—
NE
01
—
273095
COMPSYCH
NE
01
—
554979000
MAGELLAN
NE
01
—
85673
BC/BS/TRICARE
NE
Enumeration date
11/06/2008
Last updated
11/06/2008
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