Provider Demographics
NPI:1356014427
Name:TRANSFORMATIONAL COUNSELING, COACHING, & CONSULTING LLC
Entity Type:Organization
Organization Name:TRANSFORMATIONAL COUNSELING, COACHING, & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, HEAD COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:B
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-368-9430
Mailing Address - Street 1:21 GRAMERCY PARK DR APT 427
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-4542
Mailing Address - Country:US
Mailing Address - Phone:254-368-9430
Mailing Address - Fax:
Practice Address - Street 1:11400 HIGHWAY 30 STE 1002
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-7948
Practice Address - Country:US
Practice Address - Phone:979-476-2435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1396216691OtherNPI- INDIVIDUAL