OrganizationActive
A Life Transformation Center, LLC
NPI 1396020095 · Psychologist · Springfield, MO
Provider details
- NPI number
- 1396020095
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Renae Courtney, Licensed Psychologist(417) 888-0861
- License
- 2010032220 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1531 E Bradford Pkwy Ste 304
Springfield, MO 65804-6539
Phone: (417) 888-0861
Fax: (417) 888-0857
Approximate (ZIP-level) locationGet directions
Mailing address
1531 E Bradford Pkwy Ste 304
Springfield, MO 65804-6539
Registry dates
- Enumerated
- 2011-10-14
- Last updated
- 2011-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.