| Transformation Health, Llc | |
|
2288 Blue Water Blvd Ste 315&317 Odenton MD 21113-3309 | |
| (443) 759-9592 | |
| Not Available |
| Full Name | Transformation Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2288 Blue Water Blvd Ste 315&317, Odenton, Maryland |
| Authorized Official Name and Position | Monica Laney Boddie (CEO) |
| Authorized Official Contact | 4432243002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Health, Llc 4083 Dorseys Ridge Sq Ellicott City MD 21043-5469 Ph: (443) 224-3002 | Transformation Health, Llc 2288 Blue Water Blvd Ste 315&317 Odenton MD 21113-3309 Ph: (443) 759-9592 |
| NPI Number | 1982317756 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982317756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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The Care Connection, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Annapolis Road, Suite 202, Odenton, MD 21113 Phone: 410-519-1209 Fax: 410-519-1208 | |
Transformation Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2288 Blue Water Blvd Ste 315&317, Odenton, MD 21113 Phone: 443-759-9592 | |
Chesapeake Children's Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8739 Bright Meadow Ct, Odenton, MD 21113 Phone: 410-353-0677 Fax: 410-874-7907 | |
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