Becoming Transformed LLC

NPI #1952819401 in Peoria, Arizona

Provider Information

NPI Number: 1952819401
Entity Type: Organization
Organization Name: Becoming Transformed LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BECOMING TRANSFORMED LLC
Primary Specialty: Counselor
Enumeration Date: Jan 18, 2018
Last Updated: Jan 18, 2018

Practice Location

Address: 20470 N LAKE PLEASANT RD
Address 2: SUITE 106
City: Peoria
State: Arizona
ZIP Code: 85382-9705
Phone: (602) 618-8024

Authorized Official

Name: MRS. LISA LYNN GOMEZ, MA
Title: CEO
Phone: (602) 618-8024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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