Provider Demographics
NPI:1003445826
Name:TRANSFIGURATIONS, LLC
Entity Type:Organization
Organization Name:TRANSFIGURATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAKEYA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-208-0049
Mailing Address - Street 1:2817 RYALS ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1538
Mailing Address - Country:US
Mailing Address - Phone:912-208-0049
Mailing Address - Fax:
Practice Address - Street 1:2817 RYALS ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1538
Practice Address - Country:US
Practice Address - Phone:912-208-0049
Practice Address - Fax:912-234-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty