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TRANSFORMATION360
NPI 1073026662
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV

Active since November 06, 2017
5025 HOSTETLER AVE, LAS VEGAS, NV 89131(702) 628-1223 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2017, Nov 6, 2017 (2 updates tracked since 2017).

About Transformation360 NPPES

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

TRANSFORMATION360 (NPI 1073026662) is a healthcare organization registered as an addiction (substance use disorder) in Las Vegas, Nevada and active in the NPI registry since November 2017. The organization lists Alice Delia Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073026662
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameTRANSFORMATION360
Location Address5025 HOSTETLER AVELas Vegas, NV 89131-1981
Mailing Address5025 Hostetler AveLas Vegas, NV 89131-1981 · (702) 628-1223
Phone(702) 628-1223
Organization SubpartNo
Authorized OfficialAlice Delia PetersonOwner · (702) 628-1223
Enumeration DateNovember 6, 2017
Last NPPES UpdateNovember 20, 20172 updates tracked since enumeration
✔ NPI 1073026662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
5025 HOSTETLER AVE, Las Vegas, NV 89131
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRANSFORMATION360 LLC
Community/Behavioral Health
5025 HOSTETLER AVE
LAS VEGAS, NV 89131
Clark County (702) 969-5970

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 Transformation360's NPI number?

The NPI number for Transformation360 is 1073026662. It was assigned to this organization in the NPPES registry on November 6, 2017.

Where is Transformation360 located?

Transformation360 is located at 5025 Hostetler Ave, Las Vegas, NV 89131. The listed phone number is (702) 628-1223.

What is Transformation360's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Transformation360 was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.