Transformations, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149005801 Issued in IL

Legal business name

TRANSFORMATIONS, LLC

Practice address

9 Junction Dr W Ste 1
Glen Carbon, IL 62034-2931

Phone

(618) 207-4018

Fax

(618) 205-3990

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Teresa Ann Visintine, LCSW

Title

Owner

Phone

(618) 570-8315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1548639255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JUNCTION DR W STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342931",
            "telephone_number": "618-207-4018",
            "fax_number": "618-205-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JUNCTION DR W STE 1",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342931",
            "telephone_number": "618-207-4018",
            "fax_number": "618-205-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "VISINTINE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-570-8315",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149005801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Thorpe, MA, EDD
• Diane Threlkeld, DPT
• Todd Wollbrinck, OD, PC
• Heidi Marie Trackwell, PHARM.D.
• Patricia J Tracy, M.S., CCC-SLP
• Transformative Healthcare LLC
• Cheri Trauernicht, RPH
• Avarie Trent
• Aylah Shadora Trice
• Jessica Ulrich

• Community/Behavioral Health Agency in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.