LIFE TRANSFORMATION PSYCHOLOGICAL CENTER, PC


Address: 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-8198
Phone: 7065301504

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY003783 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1755 N BROWN RD
SUITE 200
City LAWRENCEVILLE
State GA
Zip Code 30043-8198

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAWRENCEVILLE
Zip Code 30043

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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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