| Transformations, Llc | |
|
5211 Auth Rd Suite 202b Suitland MD 20746-4339 | |
| (301) 761-3614 | |
| Not Available |
| Full Name | Transformations, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5211 Auth Rd, Suitland, Maryland |
| Authorized Official Name and Position | Sothia Green (OWNER) |
| Authorized Official Contact | 3016136043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations, Llc 5211 Auth Rd Suite 202b Suitland MD 20746-4339 Ph: (301) 613-6043 | Transformations, Llc 5211 Auth Rd Suite 202b Suitland MD 20746-4339 Ph: (301) 761-3614 |
| NPI Number | 1790155240 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790155240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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