Organization · Type 2 NPI

Transformative Vision PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Charlotte, NC

NPI number 1952923039 Active

Practice location

227 W 4th St Ste 321
Charlotte, NC 28202-1545

Call (704) 879-1179 Map

Fax (704) 490-4274

Mailing address

PO Box 82406
Baton Rouge, LA 70884-2406

Other practice locations

10202 Perkins Rowe Ste E160, Baton Rouge, LA 70810-2067 · (704) 879-1179

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

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NPI record

NPI: 1952923039
Entity type: Organization (Type 2)
Issued: May 12, 2020
Last updated: Mar 4, 2026
Status: Active

Other names

<unavail>
Transformative Vision · doing business as
Transformative Vision Therapy Collective · doing business as
Transformative Vision Wellness Center · doing business as

Authorized official

Jacqueline Bush, LMFT, BC-TMH
Clinicial Director
(704) 879-1179

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952923039

Transformative Vision PLLC's National Provider Identifier is 1952923039, issued on May 12, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Charlotte, NC. The record was last updated on Mar 4, 2026.