| Transformational Care | |
|
105 Nw Railroad Ave # 2664 Hammond LA 70401-3248 | |
| (504) 457-8296 | |
| Not Available |
| Full Name | Transformational Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Nw Railroad Ave # 2664, Hammond, Louisiana |
| Authorized Official Name and Position | Johnice Gordon (MEMBER) |
| Authorized Official Contact | 5044578296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Care 105 Nw Railroad Ave # 2664 Hammond LA 70401-3248 Ph: (504) 457-8296 | Transformational Care 105 Nw Railroad Ave # 2664 Hammond LA 70401-3248 Ph: (504) 457-8296 |
| NPI Number | 1750076600 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750076600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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