Organization
TRANSFORMATIVE TREK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE ASHLEY MARKHAM UEBELE (OWNER)
(352) 316-7204
Entity
Organization
Contact information
Practice address
6451 SE 180TH AVE, MORRISTON, FL 32668-5257
(352) 316-7204
Mailing address
21 HOLLY BERRY RD, FREDERICKSBURG, VA 22406-5340
(352) 316-7204
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/22/2024
Last updated
01/07/2025
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