# TRANSFORMATIONAL HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1518646538
- **Authorized official:** SIMEON MERTYL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (888) 344-4549

## Contact information

- **Practice address:** 111 TOWN SQUARE PL STE 1203, JERSEY CITY, NJ 07310-2784
- **Practice address phone:** (888) 344-4549
- **Practice address fax:** (908) 652-9230
- **Mailing address:** 111 TOWN SQUARE PL STE 1203, JERSEY CITY, NJ 07310-2784
- **Mailing address phone:** (888) 344-4549
- **Mailing address fax:** (908) 652-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2023
- **Last updated:** 07/17/2023