Provider Demographics
NPI:1457148918
Name:TRANSFORMED COUNSELING, LLC
Entity type:Organization
Organization Name:TRANSFORMED COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-416-2782
Mailing Address - Street 1:118 RAVENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:KY
Mailing Address - Zip Code:40460-7501
Mailing Address - Country:US
Mailing Address - Phone:606-416-2782
Mailing Address - Fax:
Practice Address - Street 1:310 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456-2709
Practice Address - Country:US
Practice Address - Phone:606-256-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty