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Organization

TRANSFORMATIVE THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE NIERMANN LCSW (OWNER)
(773) 263-7550
Entity
Organization

Contact information

Practice address
2334 W LAWRENCE AVE STE 204, CHICAGO, IL 60625-1045
(773) 263-7550
Mailing address
3631 N SAINT LOUIS AVE, CHICAGO, IL 60618-4225
(773) 273-7550
(844) 868-1313

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
IL7845
IL
Enumeration date
07/07/2019
Last updated
03/30/2026
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