Organization
TRANSFORMATION THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE RENEE BECKMANN (OWNER)
(984) 227-3373
Entity
Organization
Contact information
Practice address
917 SEQUOIA RIDGE DR, FUQUAY VARINA, NC 27526-2580
(984) 227-3373
Mailing address
PO BOX 264, KIPLING, NC 27543-0264
(984) 227-3733
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710287750
NPI
NC
Enumeration date
01/18/2023
Last updated
01/18/2023
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