Provider Demographics
NPI:1861156507
Name:TRANSFORMING LIVES CONSULTANT FIRM LLC
Entity type:Organization
Organization Name:TRANSFORMING LIVES CONSULTANT FIRM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAC/MHP
Authorized Official - Prefix:
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:318-914-2632
Mailing Address - Street 1:201 CENTURY VILLAGE BLVD STE 234
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2008
Mailing Address - Country:US
Mailing Address - Phone:318-914-2632
Mailing Address - Fax:318-855-3998
Practice Address - Street 1:201 CENTURY VILLAGE BLVD STE 234
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2008
Practice Address - Country:US
Practice Address - Phone:318-914-2632
Practice Address - Fax:318-855-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty