Radical Transformations Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6111 Issued in SC

Legal business name

RADICAL TRANSFORMATIONS COUNSELING SERVICES LLC

Practice address

630 Old Orangeburg Rd Apt a
Lexington, SC 29073-6927

Phone

(803) 727-0658

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Deana Lenette Tucker, MA,CACII, LPC,MACNPI 1003155094

Title

Clincial Counselor

Phone

(803) 727-0658

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Deana Lenette Tucker, MA, CAC-I

  • Addiction (Substance Use Disorder) Counselor
  • Orangeburg, SC
  • NPI 1003155094
  NPD Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1083144125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8781",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292028781",
            "telephone_number": "803-727-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OLD ORANGEBURG RD APT A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736927",
            "telephone_number": "803-727-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL TRANSFORMATIONS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "LENETTE",
        "authorized_official_title_or_position": "CLINCIAL COUNSELOR",
        "authorized_official_telephone_number": "803-727-0658",
        "authorized_official_credential": "MA,CACII, LPC,MAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "6111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1559",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purposely Mindful, LLC
• Caroline Denise Pyatt
• Valentina Quetglas
• Ansley Michelle Rabon
• Bryan Mitchell Rabon, MDIV, LPC
• Rawle David Ragoonath
• Barry M Raines, PT
• Kevin M Raines, DMD
• Kailee Celeste Rainwater
• Amlitha Ramesh

• Community/Behavioral Health Agency in Lexington, SC
• Providers in Lexington, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.