Transformative Trek Therapy LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

TRANSFORMATIVE TREK THERAPY LLC

Practice address

6451 SE 180TH Ave
Morriston, FL 32668-5257

Phone

(352) 316-7204

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Paige Ashley Markham UebeleNPI 1982180485

Title

Owner

Phone

(352) 316-7204

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paige Ashley Markham Uebele

  • Marriage & Family Therapist
  • Morriston, FL
  • NPI 1982180485
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1124873120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOLLY BERRY RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224065340",
            "telephone_number": "352-316-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 SE 180TH AVE",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326685257",
            "telephone_number": "352-316-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE TREK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "UEBELE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "ASHLEY MARKHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-316-7204"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• On the Other Side of the Fence, Inc.
• Mario J Pinder
• Thomas Choice Healthcare Providers Inc
• Transformations Mending Fences, LLC
• Transformations Mending Fences, LLC
• Paige Ashley Markham Uebele
• Lisa Walter, MS-CCC, SLP

• Health & Wellness Coach in Morriston, FL
• Providers in Morriston, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.