Organization
TRANSFORMATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANN VISINTINE LCSW (OWNER)
(618) 570-8315
Entity
Organization
Contact information
Practice address
9 JUNCTION DR W STE 1, GLEN CARBON, IL 62034-2931
(618) 207-4018
(618) 205-3990
Mailing address
9 JUNCTION DR W STE 1, GLEN CARBON, IL 62034-2931
(618) 207-4018
(618) 205-3990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149005801
IL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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