Provider Demographics
NPI:1336854140
Name:TRANSFORMATIVE GROWTH THERAPY, PLLC
Entity Type:Organization
Organization Name:TRANSFORMATIVE GROWTH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MHP, LMHC, CTMH
Authorized Official - Phone:253-525-2784
Mailing Address - Street 1:1011 E MAIN STE 458
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-6780
Mailing Address - Country:US
Mailing Address - Phone:253-525-2784
Mailing Address - Fax:
Practice Address - Street 1:1011 E MAIN STE 305
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-6775
Practice Address - Country:US
Practice Address - Phone:253-525-2784
Practice Address - Fax:509-957-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty