Transformation 3CS, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC006436 Issued in GA

Legal business name

TRANSFORMATION 3CS, LLC

Doing business as

Sandra V. Phillips

Practice address

3711 Executive Center Dr
Ste 202 #6
Martinez, GA 30907-0951

Phone

(706) 750-4275

Fax

(706) 432-9095

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Sandra Varner Philllips, LPC

Title

Ceo

Phone

(706) 750-4275

Specialties & licenses 2

Addresses

Other names 1

• Sandra V. Phillips Doing business as

Locations

Practitioners 1

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

• Kylie Jupp

  • Mental Health Counselor
  • North Augusta, SC
  • NPI 1063157220
  NPD (past)

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1588062756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9443",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309169443",
            "telephone_number": "706-750-4275",
            "fax_number": "706-432-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 EXECUTIVE CENTER DR",
            "address_2": "STE 202 #6",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070951",
            "telephone_number": "706-750-4275",
            "fax_number": "706-432-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION 3CS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "PHILLLIPS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "VARNER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-750-4275",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC006436",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra V. Phillips",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norman Ton
• Morakinyo A. O. Toney, MD..
• Mary Tortorete
• Benjamin F Towe, MD
• Brooke Trammell
• True Destiny PCH LLC
• Alondra Truesdell
• Stephanie Truong, MA, LMFT
• Alexis Turner
• Shanea L Turner

• Mental Health Counselor in Martinez, GA
• Providers in Martinez, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.