| Transformation Project, Inc. | |
|
4431 Sw 64th Ave Suite 107-109 Davie FL 33314-3458 | |
| (954) 797-7430 | |
| (954) 797-6782 |
| Full Name | Transformation Project, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| 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 Ste 107-109 Davie FL 33314-3458 Ph: (954) 797-7430 | Transformation Project, Inc. 4431 Sw 64th Ave Suite 107-109 Davie FL 33314-3458 Ph: (954) 797-7430 |
| NPI Number | 1962943274 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962943274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1505 (Florida) | Primary |
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