Provider Demographics
NPI: | 1295218725 |
---|---|
Name: | TRANSFORMING PERSPECTIVES LLC |
Entity Type: | Organization |
Organization Name: | TRANSFORMING PERSPECTIVES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ELLEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DURANT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMFT |
Authorized Official - Phone: | 214-886-1212 |
Mailing Address - Street 1: | 168 BLUEBERRY HILL RD |
Mailing Address - Street 2: | |
Mailing Address - City: | EL PRADO |
Mailing Address - State: | NM |
Mailing Address - Zip Code: | 87529-7402 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-886-1212 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 168 BLUEBERRY HILL RD |
Practice Address - Street 2: | |
Practice Address - City: | EL PRADO |
Practice Address - State: | NM |
Practice Address - Zip Code: | 87529-8752 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-886-1212 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-09-11 |
Last Update Date: | 2022-05-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No | 251S00000X | Agencies | Community/Behavioral Health |