Organization
TRANSFORMATIVE LIFE CENTRES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE M LEDAY PH.D. (C.E.O.)
(704) 708-4605
Entity
Organization
Contact information
Practice address
134 W MATTHEWS ST, MATTHEWS, NC 28105-1305
(704) 708-4605
(704) 469-5807
Mailing address
134 W MATTHEWS ST, MATTHEWS, NC 28105-1305
(704) 708-4605
(704) 469-5807
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3909
NC
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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