PATH TO TRANSFORMATION LLC
NPI 1720779093
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lexington, KY

Active since May 17, 2023
271 W SHORT ST STE 410, LEXINGTON, KY 40507(502) 322-7071 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About PATH TO TRANSFORMATION LLC

This page provides the complete NPI Profile along with additional information for Path To Transformation Llc, a provider established in Lexington, Kentucky operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1720779093 assigned on May 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Alexis Crook (Owner)

NPI
1720779093 Verify this NPI
Provider Name
PATH TO TRANSFORMATION LLC
Entity Type
Organization
Location Address
271 W SHORT ST STE 410 LEXINGTON, KY 40507
Location Phone
(502) 322-7071
Mailing Address
16802 POLO FIELDS LN LOUISVILLE, KY 40245
Mailing Phone
(502) 322-7071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2023
Last Update Date
05-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ALEXIS CROOK

Authorized Official Title
OWNER
Authorized Official Phone
(502) 322-7071

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Day Training, Developmentally Disabled Services
271 W SHORT ST STE 410
LEXINGTON, KY 40507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720779093, enumerated as an "organization" on May 17, 2023.

The provider is located at 271 W SHORT ST STE 410 LEXINGTON, KY 40507 and the phone number is (502) 322-7071.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).