Organization
INNERCORE TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A RASMUSSEN LCSW (OWNER)
(907) 775-8742
Entity
Organization
Contact information
Practice address
116 S FRONTIER PKWY, SNOWFLAKE, AZ 85937-6449
(907) 775-8742
(888) 265-5270
Mailing address
116 S FRONTIER PKWY, SNOWFLAKE, AZ 85937-6449
(190) 777-5874
(888) 265-5270
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/26/2024
Last updated
04/18/2026
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