Organization
TRANSFORMATION SERVICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMYNE LYONS (OWNER)
(206) 483-0994
Entity
Organization
Contact information
Practice address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0581
(206) 483-0994
(206) 483-0118
Mailing address
2096 RODMAN BLVD, GALLATIN, TN 37066-4450
(615) 438-1797
(206) 483-0118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
133V00000X
Registered Dietitian
—
—
202D00000X
Integrative Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/17/2025
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