Provider Demographics
NPI:1942792957
Name:PREMIER TRANSFORMATION COUNSELING & CONSULTING SERVICES
Entity Type:Organization
Organization Name:PREMIER TRANSFORMATION COUNSELING & CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKIRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DRUMMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PCC-S
Authorized Official - Phone:513-519-8776
Mailing Address - Street 1:3256 VITTMER AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2206
Mailing Address - Country:US
Mailing Address - Phone:513-519-8778
Mailing Address - Fax:
Practice Address - Street 1:791 E MCMILLAN ST STE 105
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-1938
Practice Address - Country:US
Practice Address - Phone:513-519-8776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1100232251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health