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Contact Information

INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC
10130 PERIMETER PARKWAY SUITE 200 - #0425
CHARLOTTE, NC28216
 Phone: 980-230-8880
 Fax: 844-841-1302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC

NPI Number 1619384583
LBN Legal business name INNER TRANSFORMATION THERAPEUTIC SERVICES, PLLC
Authorized official CORRELIA JOHNSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2014
Last updated 08/26/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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