LIFE TRANSFORMATION PSYCHOLOGICAL CENTER, PC (NPI# 1285024810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285024810 |
Entity Type | Organization |
Organization Name | LIFE TRANSFORMATION PSYCHOLOGICAL CENTER, PC |
Practice Address |
1755 N Brown Rd Suite 200 Lawrenceville GA 30043-8198 |
Mailing Address |
950 Herrington Rd Suite C 186 Lawrenceville GA 30044-7217 |
Practice Telephone | 7065301504 |
Practice Fax Number | 8554206045 |
Mailing Telephone | 7065301504 |
Enumeration Date | 2015-02-03 |
Last Update Date | 2015-02-03 |
Authorized Official Name | DR. ELIZABETH L. ANDERSON (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Telephone | 7065301504 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSY003783 | GA | Behavioral Health & Social Service Providers |
Street Address |
1755 N BROWN RD SUITE 200 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30043-8198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447696786 | Atherium Healthcare LLC | In Home Supportive Care | 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-8198 | 2013-05-14 |
1245844968 | Like N Arrow LLC | Non-emergency Medical Transport (VAN) | 1755 N Brown Rd, Lawrenceville, GA 30043-8198 | 2020-09-01 |
1225647357 | Jacob Gowler | Behavioral Analyst | 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-2018 | 2020-07-24 |
1962857565 | Daddysgirl4ever Counseling & Coaching Empowerment Services Inc. | Counselor | 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-8198 | 2016-05-02 |
1104220870 | Assertive Community Solutions, Inc | Community/Behavioral Health | 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-8198 | 2014-10-09 |
1255747887 | Anela Ramlochan | Counselor | 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-8198 | 2014-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
Find all providers in zip 30043 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841383452 | Rachel Elizabeth Christian | Psychologist | 1805 Herrington Rd., Bldg. 2, Lawrenceville, GA 30043 | 2006-10-02 |
1962413732 | Tracy Bradley Druckenbrod | Psychologist | 131 Lawrenceville Pennington Rd, Lawrenceville, NJ 08648-1414 | 2006-08-10 |
1891719100 | Lee Hayes Rogers | Psychologist | 1585 Old Norcross Rd, Suite 201-f, Lawrenceville, GA 30045-4043 | 2006-07-27 |
1437177433 | Erik A Fisher | Psychologist | 285 S Perry Street, Lawrenceville, GA 30045-5621 | 2006-07-17 |
1609837616 | Shirley Boone-sanford | Psychologist | 485 S Perry St, Suite D, Lawrenceville, GA 30045-4923 | 2006-03-29 |
1437539715 | Alison Steinhauser | Psychologist | 3100 Princeton Pike, Bdg 3 Suite B, Lawrenceville, NJ 08648-2300 | 2015-06-02 |
1013319847 | Gwinnett Psychology, LLC | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 | 2014-09-24 |
1871839126 | Jeffrey B Allen | Psychologist | 123 Franklin Corner Rd, Suite 116, Lawrenceville, NJ 08648-2526 | 2012-12-13 |
1548513963 | Cassin Cole-straub | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 | 2012-10-23 |
1346543923 | Karen Frances Wedam | Psychologist | 183 Franklin Corner Rd, Lawrenceville, NJ 08648-2555 | 2010-12-21 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30043 |
Please comment or provide details below to improve the information on LIFE TRANSFORMATION PSYCHOLOGICAL CENTER, PC.
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.