Organization
TRANSFORMED MINDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYLER LATELE JACKSON LCSW (OWNER)
(972) 213-6682
Entity
Organization
Contact information
Practice address
2640 CLAYBURNE DR, JONESBORO, AR 72405-8160
(972) 213-6682
Mailing address
2640 CLAYBURNE DR, JONESBORO, AR 72405-8160
(972) 213-6682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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