TRANSFORMED MINDS, PLLC
NPI 1003631631
Social Worker - Clinical in Jonesboro, AR

Active since November 19, 2024
2640 CLAYBURNE DR, JONESBORO, AR 72405(972) 213-6682 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Transformed Minds, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMED MINDS, PLLC (NPI 1003631631) is a healthcare organization registered as a clinical in Jonesboro, Arkansas and active in the NPI registry since November 2024. The organization lists Tyler Latele Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003631631
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRANSFORMED MINDS, PLLC
Location Address2640 CLAYBURNE DRJonesboro, AR 72405-8160
Mailing Address2640 Clayburne DrJonesboro, AR 72405-8160 · (972) 213-6682
Organization SubpartNo
Authorized OfficialTyler Latele JacksonOwner · (972) 213-6682
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
NPI 1003631631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2640 CLAYBURNE DR, Jonesboro, AR 72405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Transformed Minds, PLLC's NPI number?

The NPI number for Transformed Minds, PLLC is 1003631631. It was assigned to this organization in the NPPES registry on November 19, 2024.

Where is Transformed Minds, PLLC located?

Transformed Minds, PLLC is located at 2640 Clayburne Dr, Jonesboro, AR 72405. The listed phone number is (972) 213-6682.

What is Transformed Minds, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Transformed Minds, PLLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.