Provider Demographics
NPI:1679059158
Name:TRANSFORMATIVE COUNSELING AND FAMILY SERVICES
Entity Type:Organization
Organization Name:TRANSFORMATIVE COUNSELING AND FAMILY SERVICES
Other - Org Name:TRANSFORMATIVE COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-914-6820
Mailing Address - Street 1:18537 1ST AVE S STE B
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1867
Mailing Address - Country:US
Mailing Address - Phone:425-390-4677
Mailing Address - Fax:206-898-9754
Practice Address - Street 1:18537 1ST AVE S STE B
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-1867
Practice Address - Country:US
Practice Address - Phone:425-390-4677
Practice Address - Fax:206-898-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty