Organization
TRANSFORMATIONAL THERAPY LLC
Active
Other names
Transformational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GRANGER LIMHP (OWNER)
(402) 650-9601
Entity
Organization
Contact information
Practice address
6818 GROVER ST STE 301, OMAHA, NE 68106-3632
(402) 650-9601
Mailing address
3240 S 45TH ST, OMAHA, NE 68106-4028
(402) 650-9601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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