| Transformation House | |
|
916 E Blanco Rd Ste 600 Boerne TX 78006-1764 | |
| (830) 542-9166 | |
| Not Available |
| Full Name | Transformation House |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 916 E Blanco Rd Ste 600, Boerne, Texas |
| Authorized Official Name and Position | Lori A Houck (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8305429166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation House Po Box 1181 Boerne TX 78006-1181 Ph: (210) 508-1056 | Transformation House 916 E Blanco Rd Ste 600 Boerne TX 78006-1764 Ph: (830) 542-9166 |
| NPI Number | 1275377806 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275377806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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