Transform Therapy Co PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TRANSFORM THERAPY CO PLLC

Practice address

4825 Davis LN Apt 1331
Austin, TX 78749-4576

Phone

(763) 957-0648

NPI assigned

Sep 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Latraille, LPC-ANPI 1407473952

Title

Therapist

Phone

(763) 957-0648

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Marie Latraille

  • Mental Health Counselor
  • Odessa, TX
  • NPI 1407473952
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726272000000",
    "number": "1063249175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 DAVIS LN APT 1331",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494576",
            "telephone_number": "763-957-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 DAVIS LN APT 1331",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494576",
            "telephone_number": "763-957-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM THERAPY CO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "LATRAILLE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "763-957-0648",
        "authorized_official_credential": "LPC-A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Cecelia Trandem, D.D.S.
• Trans S.a.M LLC
• Transcend Healing Collective PLLC
• Transcend Homecare Services, LLC
• Transform Insight Therapy, PLLC
• Transitions Neuropsychology of Austin
• Jennifer Nichole Trapani, PHD
• Shirley Eileen Trapani, LPC, LMSW
• Trauma Coaching and Training Center
• Travel With Tiki LLC

• Adult Mental Health Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.