| Transformations Mending Fences, Llc | |
|
15530 W Highway 326 Morriston FL 32668-7311 | |
| (561) 501-5260 | |
| (954) 982-6648 |
| Full Name | Transformations Mending Fences, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15530 W Highway 326, Morriston, Florida |
| Authorized Official Name and Position | Thomas Hasson (DIRECTOR OF BILLING) |
| Authorized Official Contact | 5612375306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations Mending Fences, Llc Po Box 733932 Dallas TX 75373-3932 Ph: () - | Transformations Mending Fences, Llc 15530 W Highway 326 Morriston FL 32668-7311 Ph: (561) 501-5260 |
| NPI Number | 1417545732 |
|---|---|
| Provider Enumeration Date | 01/03/2021 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417545732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Care 4 America Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20494 Nw 27th St, Morriston, FL 32668 Phone: 352-489-7444 Fax: 352-465-5897 |