Organization
BECOMING TRANSFORMED LLC
Active
Parent organization
BECOMING TRANSFORMED LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BECOMING TRANSFORMED LLC
Authorized official
MRS. LISA LYNN GOMEZ MA (CEO)
(602) 618-8024
Entity
Organization
Contact information
Practice address
20470 N LAKE PLEASANT RD, SUITE 106, PEORIA, AZ 85382-9705
(602) 618-8024
(623) 933-8625
Mailing address
PO BOX 7641, SURPRISE, AZ 85374-0110
(602) 618-8024
(623) 933-8625
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12788
AZ
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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