| Transformations Therapeutic Services | |
|
1501 Robert J Conlan Blvd Ne Palm Bay FL 32905-3502 | |
| (321) 210-3681 | |
| Not Available |
| Full Name | Transformations Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 1501 Robert J Conlan Blvd Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Alisa Mcgee (THERAPIST COUNSELOR) |
| Authorized Official Contact | 3212103681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations Therapeutic Services 1501 Robert J Conlan Blvd Ne Palm Bay FL 32905-3502 Ph: (321) 210-3681 | Transformations Therapeutic Services 1501 Robert J Conlan Blvd Ne Palm Bay FL 32905-3502 Ph: (321) 210-3681 |
| NPI Number | 1831772391 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 9335532480 |
|---|---|
| Medicare Enrollment ID | O20220214000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831772391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alisa R Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851981666 PECOS PAC ID: 8527476639 Enrollment ID: I20210408002494 |
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