| Transformation Project Inc | |
|
4431 Sw 64th Ave Suite 107 Davie FL 33314-3458 | |
| (954) 797-7430 | |
| Not Available |
| Full Name | Transformation Project Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4431 Sw 64th Ave, Davie, Florida |
| Authorized Official Name and Position | Marilisa Lawless (PRESIDENT) |
| Authorized Official Contact | 9547977430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Project Inc 4431 Sw 64th Ave Suite 107 Davie FL 33314-3458 Ph: (954) 797-7430 | Transformation Project Inc 4431 Sw 64th Ave Suite 107 Davie FL 33314-3458 Ph: (954) 797-7430 |
| NPI Number | 1073974390 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073974390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY7080 (Florida) | Primary |
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