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Organization
TRANSFORMATION THERAPEUTIC SERVICES
Active
Organization
TRANSFORMATION THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY JOHNSON (CEO)
(240) 441-3344
Entity
Organization
Contact information
Practice address
16703 GOVERNOR BRIDGE RD APT 203, BOWIE, MD 20716-3678
(240) 441-3344
Mailing address
16703 GOVERNOR BRIDGE RD APT 203, BOWIE, MD 20716-3678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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