Organization Active NPI

Transmuting Trauma Therapy, PLLC

  • Professional Counselor
  • Texarkana, TX
National Provider Identifier
1144053547
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRANSMUTING TRAUMA THERAPY, PLLC
Practice address
736 Old Boston Rd Apt 70
Texarkana, TX 75501-2935
Phone
(903) 559-6416
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Shamree Lynn Williams, MA, LCPCNPI 1477222982
Title
Mental Health Therapist
Phone
(903) 559-6416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

736 Old Boston Rd Apt 70
Texarkana, TX 75501-2935

Mailing address

2930 Alexander Ave
Texarkana, TX 75501-7374
Phone (903) 559-6416

Other practice location 1

711 W 40th St Ste 358
Baltimore, MD 21211-2111
Phone (903) 559-6416

National Provider Directory

National Provider Directory

Locations

711 W 40th St
Ste 358
Baltimore, MD 21211
Phone (443) 350-0813

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1144053547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 ALEXANDER AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755017374",
            "telephone_number": "903-559-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 OLD BOSTON RD APT 70",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012935",
            "telephone_number": "903-559-6416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W 40th St Ste 358",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112111",
            "country_code": "US",
            "telephone_number": "903-559-6416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSMUTING TRAUMA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAMREE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "903-559-6416",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.