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SENIOR HEALTH SOURCE
NPI 1316256555
Psychologist - Clinical in Charlotte, NC

Active since October 06, 2010
3440 TORINGDON WAY, SUITE 205, CHARLOTTE, NC 28277(877) 747-5520(877) 539-5520 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Senior Health Source NPPES

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

SENIOR HEALTH SOURCE (NPI 1316256555) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since October 2010. The organization lists Lewis Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1316256555
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTRANSFORMATIVE LIFE CENTER, LLC.
Location Address3440 TORINGDON WAY, SUITE 205Charlotte, NC 28277-3190
Mailing Address3440 Toringdon Way, Suite 205Charlotte, NC 28277-3190 · (877) 747-5520 · Fax (877) 539-5520
Phone(877) 747-5520
Fax(877) 539-5520
Organization SubpartYes
Authorized OfficialLewis EvansOwner · (877) 747-5520
Enumeration DateOctober 6, 2010
✔ NPI 1316256555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 3909
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3440 TORINGDON WAY, Charlotte, NC 28277
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Other Names 1

Doing Business AsSenior Health Source

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CROSSROADS THERAPY LLC
Social Worker (Clinical)
3440 TORINGDON WAY, SUITE 205
CHARLOTTE, NC 28277
Mecklenburg County (704) 325-5850
DR. MARKESHA MILLER PH.D, LPC
Counselor (Professional)
3440 TORINGDON WAY, SUITE 205
CHARLOTTE, NC 28277
Mecklenburg County (704) 927-5885
MARTHA ISABEL ESCOBAR MSW, LCSW
Social Worker (Clinical)
3440 TORINGDON WAY
CHARLOTTE, NC 28277
Mecklenburg County (203) 856-8003

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 Transformative Life Center, LLC.'s NPI number?

The NPI number for Transformative Life Center, LLC. is 1316256555. It was assigned to this organization in the NPPES registry on October 6, 2010. The provider is doing business as Senior Health Source.

Where is Transformative Life Center, LLC. located?

Transformative Life Center, LLC. is located at 3440 Toringdon Way Suite 205, Charlotte, NC 28277. The listed phone number is (877) 747-5520.

What is Transformative Life Center, LLC.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Transformative Life Center, LLC. was last updated on October 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.