Provider Demographics
NPI:1457086456
Name:TRANSFORMING HEALTH LLC
Entity Type:Organization
Organization Name:TRANSFORMING HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ERICKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:240-216-1546
Mailing Address - Street 1:35 HI LEA FARM RD
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1748
Mailing Address - Country:US
Mailing Address - Phone:240-216-1546
Mailing Address - Fax:
Practice Address - Street 1:365 STORRS RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD CENTER
Practice Address - State:CT
Practice Address - Zip Code:06250-1200
Practice Address - Country:US
Practice Address - Phone:860-456-3225
Practice Address - Fax:860-456-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty