Provider Demographics
NPI:1881829687
Name:TRANSFORMATIONS
Entity type:Organization
Organization Name:TRANSFORMATIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NORRIS
Authorized Official - Middle Name:DELANE
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:JR
Authorized Official - Credentials:EDS
Authorized Official - Phone:775-232-6610
Mailing Address - Street 1:7606 CORSO ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-5939
Mailing Address - Country:US
Mailing Address - Phone:775-232-6610
Mailing Address - Fax:775-826-7478
Practice Address - Street 1:560 E PLUMB LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3504
Practice Address - Country:US
Practice Address - Phone:775-232-6610
Practice Address - Fax:775-826-7478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty