Organization Active NPI

Transform You LLC

  • Professional Counselor
  • Tyrone, GA
National Provider Identifier
1508483389
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRANSFORM YOU LLC
Practice address
130 Howell Rd Ste D
Tyrone, GA 30290-2097
Phone
(404) 451-1631
NPI assigned
Jun 29, 2020
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Olivia C Frazier, LPCNPI 1346562774
Title
Licensed Professional Counselor
Phone
(404) 451-1631

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 Counselor 101YP2500X NU Primary

Addresses

Primary practice location

130 Howell Rd Ste D
Tyrone, GA 30290-2097

Mailing address

595 Old Greenville Rd
Fayetteville, GA 30215-5930
Phone (404) 451-1631

National Provider Directory

National Provider Directory

Locations

116 Park 42 Dr
Ste A
Locust Grove, GA 30248

130 Howell Rd
Ste D
Tyrone, GA 30290
Phone (404) 451-1631

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1508483389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 OLD GREENVILLE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155930",
            "telephone_number": "404-451-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOWELL RD STE D",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902097",
            "telephone_number": "404-451-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-451-1631",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.