RADICAL TRANSFORMATIONS COUNSELING SERVICES LLC


Address: 630 Old Orangeburg Rd Apt A, Lexington, SC 29073-6927
Phone: 8037270658

RADICAL TRANSFORMATIONS COUNSELING SERVICES LLC (NPI# 1083144125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083144125
Entity Type Organization
Organization Name RADICAL TRANSFORMATIONS COUNSELING SERVICES LLC
Practice Address 630 Old Orangeburg Rd Apt A
Lexington
SC 29073-6927
Mailing Address Po Box 8781
Columbia
SC 29202-8781
Practice Telephone 8037270658
Mailing Telephone 8037270658
Enumeration Date 2017-06-12
Last Update Date 2019-06-11
Authorized Official Name DEANA LENETTE TUCKER (CLINCIAL COUNSELOR)
Authorized Official Telephone 8037270658
Authorized Official Credential MA,CACII, LPC,MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 6111 SC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
SC PC1559 05

Office Location

Street Address 630 OLD ORANGEBURG RD APT A
City LEXINGTON
State SC
Zip Code 29073-6927

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1821419102 Megan Gadson Counselor 1068 South Lake Dr., Lexington, SC 29073 2014-01-03
1780937789 Craig Elliott Pfeifer Specialist/Technologist 755 Colina Ct, Lexington, SC 29073 2012-10-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1558906321 Strategic Therapy Associates, Inc. Community/Behavioral Health 15 S Main St Ste 217, Lexington, VA 24450-2541 2019-11-15
1619510021 Alexander Youth Network Community/Behavioral Health 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 2019-10-18
1982246401 Alexander Youth Network Community/Behavioral Health 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 2019-10-16
1194204503 Tn Anger Management / Counsel Care, LLC Community/Behavioral Health 1490b N Broad St, Lexington, TN 38351-4700 2018-08-08
1275010753 Anant Integrated Health Services, LLC Community/Behavioral Health 104 Brigadoon Pkwy, Lexington, KY 40517-1305 2018-07-26
1669975165 Addiction Treatment Centers LLC Community/Behavioral Health 1736 Alexandria Dr Ste 225, Lexington, KY 40504-3159 2018-03-12
1447764352 A Brighter Future Abi Community/Behavioral Health 2121 Richmond Rd Ste 206, Lexington, KY 40502-1213 2017-11-30
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Competitor

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City LEXINGTON
Zip Code 29073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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