# TRANSFORMATION LIFE CENTER

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

## Provider details

- **NPI number:** 1952555864
- **Authorized official:** MRS. LINDA DENISE STANCIL DOWDEN NCC,LIMHP,LADC,LPC,L (PSYCHOTHERAPIST/SUBSTANCE ABUSE/PAS)
- **Authorized official phone:** (402) 991-2123

## Contact information

- **Practice address:** 2211 PEOPLES RD, SUITE 1, BELLEVUE, NE 68005-4670
- **Practice address phone:** (402) 991-2123
- **Practice address fax:** (402) 991-2172
- **Mailing address:** 2211 PEOPLES RD, SUITE 1, BELLEVUE, NE 68005-4670
- **Mailing address phone:** (402) 991-2123
- **Mailing address fax:** (402) 991-2172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 75258 | AZ | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 739 | NE | — |
| 101YM0800X | Mental Health Counselor | 121 | NE | Yes |
| 101YM0800X | Mental Health Counselor | 3034 | NE | — |
| 101YP2500X | Professional Counselor | 1569 | NE | — |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 11/06/2008

## 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 |