Transformed Leadership, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRANSFORMED LEADERSHIP, LLC

Doing business as

Transformed Support Services

Practice address

3959 Electric Rd
Suite 350
Roanoke, VA 24018-4562

Phone

(540) 685-2582

Fax

(540) 685-2583

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Susan Lawyer Willis

Title

Ceo

Phone

(540) 330-7228

Specialties & licenses 1

Addresses

Other names 1

• Transformed Support Services Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Andrea G. Haley, L.C.S.W.

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1154415271
  Medicare reassignment NPD

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1396086153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD",
            "address_2": "SUITE 350",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184562",
            "telephone_number": "540-685-2582",
            "fax_number": "540-685-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD",
            "address_2": "SUITE 350",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184562",
            "telephone_number": "540-685-2582",
            "fax_number": "540-685-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMED LEADERSHIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LAWYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-330-7228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformed Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasen Tran, DO
• Khoa Dang Tran, MD
• Thu Trang Thi Tran
• Collin Jacob Trank
• Sophie Mench Tranmer, DPT
• Transitional Options for Women
• Kathleen Elaine Trapuzzano, RPH
• Rhett Travis, D.C.
• Ashley Treadwell-Wilson, MS/SLP
• Jacqueline Ann Treichler, SLP

• Community/Behavioral Health Agency in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.