| Transformation Psychotherapy Pllc | |
|
33300 Egypt Ln Ste B900 Magnolia TX 77354-2883 | |
| (832) 207-6064 | |
| (888) 388-2065 |
| Full Name | Transformation Psychotherapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 33300 Egypt Ln Ste B900, Magnolia, Texas |
| Authorized Official Name and Position | Michael Keith Henson (OWNER/ COUNSELOR) |
| Authorized Official Contact | 8322076064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Psychotherapy Pllc 33300 Egypt Ln Ste B900 Magnolia TX 77354-2883 Ph: (832) 207-6064 | Transformation Psychotherapy Pllc 33300 Egypt Ln Ste B900 Magnolia TX 77354-2883 Ph: (832) 207-6064 |
| NPI Number | 1669151296 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0648620856 |
|---|---|
| Medicare Enrollment ID | O20240102000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669151296 | NPI | - | NPPES |
| Provider Name | Michael Keith Henson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720750920 PECOS PAC ID: 5597868489 Enrollment ID: I20240102000545 |
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