| Transformations, Llc | |
|
4303 Midtown Sq Suite 5005 Suitland MD 20746-4427 | |
| (301) 613-6043 | |
| (301) 576-3671 |
| Full Name | Transformations, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4303 Midtown Sq, Suitland, Maryland |
| Authorized Official Name and Position | Sothia Lashan Green (THERAPIST) |
| Authorized Official Contact | 3016136043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations, Llc 4303 W Village Ave Apt 5005 Suitland MD 20746-5226 Ph: (301) 613-6043 | Transformations, Llc 4303 Midtown Sq Suite 5005 Suitland MD 20746-4427 Ph: (301) 613-6043 |
| NPI Number | 1659743847 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659743847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCA 341 (Maryland) | Primary |
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