Organization
TRANSFORMED THERAPY & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMANI KHAN ED.D (OWNER/CEO/EXECUTIVE DIRECTOR)
(773) 888-9715
Entity
Organization
Contact information
Practice address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(773) 350-5764
Mailing address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(773) 350-5764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
04/20/2026
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