# TRANSFORMATION HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164135455
- **Authorized official:** MONICA LANEY BODDIE LCSW-C (CEO)
- **Authorized official phone:** (443) 224-3002

## Contact information

- **Practice address:** 2288 BLUE WATER BLVD STE 315&317, ODENTON, MD 21113-3309
- **Practice address phone:** (443) 759-9592
- **Mailing address:** 4083 DORSEYS RIDGE SQ, ELLICOTT CITY, MD 21043-5469
- **Mailing address phone:** (443) 224-3002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2023
- **Last updated:** 01/02/2023