Transformative Life Center, LLC.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3909 Issued in NC

Legal business name

TRANSFORMATIVE LIFE CENTER, LLC.

Practice address

130 W Matthews St
Matthews, NC 28105-1312

Phone

(704) 927-5885

NPI assigned

Feb 24, 2010

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rose Marie Leday, PH.D.NPI 1679805717

Title

Manager

Phone

(980) 406-4393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Transformative Life Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Transformative Life Center, LLC.

  dba Transcend ED Adolescent Residential Treatment Center

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1154906667
  NPD tax ID
• Transformative Life Center, LLC.

  dba Senior Health Source

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1316256555
  NPD tax ID
• Transformative Life Center, LLC.

  dba Transcend Ed

  • Community/Behavioral Health Agency
  • Matthews, NC
  • NPI 1538595632
  NPD tax ID

Locations

Practitioners 5

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.

• Rose Marie Leday, PH.D.

  • Clinical Psychologist
  • Matthews, NC
  • NPI 1679805717
  Medicare reassignment Authorized official
• Laurie Amy Jachym, L.C.S.W.

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1841342185
  NPD (past)
• Kimberly Ranee Kraut, MSW, LCSW, ACSW

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1265461255
  NPD (past)
• Jeffrey Matthew Lorence, M,A., L.P.A.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1285859983
  NPD (past)
• Shante M Vines

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1922313899
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1215259874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061200",
            "telephone_number": "704-927-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MATTHEWS ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051312",
            "telephone_number": "704-927-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE LIFE CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "LEDAY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "980-406-4393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Care and Concern Inc
• Francesca L Totty, LCSW
• Touchpoint Healthcare Services Inc (Touchpoint Healthcare - Monroe)
• Jasmine Townsend, LCSW
• Tran & Javed 2 DDS PA (Mattews Dental SPa)
• Transformative Life Center, LLC. (Transcend Ed)
• Transformative Life Centres, LLC.
• Transitional Life, LLC
• Transitional Life, LLC
• Elizabeth Travers, BCBA

• Psychologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.