Provider Demographics
NPI:1265592026
Name:TRANSFORMATIONS COUNSELING SERVICES LLP
Entity type:Organization
Organization Name:TRANSFORMATIONS COUNSELING SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COCKRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC CSAC MAC
Authorized Official - Phone:540-898-6851
Mailing Address - Street 1:PO BOX 41114
Mailing Address - Street 2:
Mailing Address - City:FREDRICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22404
Mailing Address - Country:US
Mailing Address - Phone:540-898-6851
Mailing Address - Fax:540-898-6398
Practice Address - Street 1:150 OLDE GREENWICH DRIVE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408
Practice Address - Country:US
Practice Address - Phone:540-898-6851
Practice Address - Fax:540-898-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002487101Y00000X
VA0701002237101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA122456OtherVALUE OPTIONS
VA352119OtherMAMSI
VA082355OtherSENTARA
VA086127OtherSENTARA
VA2240716OtherCIGNA
VA5409730Medicaid
VA214992OtherBCBS
VA5409721Medicaid
VA6515OtherCARE FIRST
VA65340002OtherCARE FIRST
VA363052OtherMAMSI
VA2228075OtherCIGNA
VA65340001OtherCARE FIRST