NPI 1003631631

Transformed Minds, PLLC

Organisation Clinical Social Worker Jonesboro, AR

Practice location

Address: 2640 Clayburne Dr, Jonesboro, AR 72405-8160
Phone: (972) 213-6682

Authorised official

Name: Tyler Latele Jackson
Title: Owner
Phone: (972) 213-6682

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Arkansas →

Registry record

NPI: 1003631631
Entity type: Organization
NPI issued: 19 Nov 2024
Record last updated: 19 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.