| Transformation Therapy Services, Inc | |
|
5109 Highway 278 Ne Ste D Covington GA 30014-2608 | |
| (770) 787-2301 | |
| (770) 787-9460 |
| Full Name | Transformation Therapy Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5109 Highway 278 Ne Ste D, Covington, Georgia |
| Authorized Official Name and Position | Angela K Hardy (OWNER) |
| Authorized Official Contact | 7703170430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Therapy Services, Inc 5109 Highway 278 Ne Ste D Covington GA 30014-2608 Ph: (770) 787-2301 | Transformation Therapy Services, Inc 5109 Highway 278 Ne Ste D Covington GA 30014-2608 Ph: (770) 787-2301 |
| NPI Number | 1528489473 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 06/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528489473 | NPI | - | NPPES |
| 003107063A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005742 (Georgia) | Primary |
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