Organization
TRANSFORMATION HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LANEY BODDIE LCSW-C (CEO)
(443) 224-3002
Entity
Organization
Contact information
Practice address
2288 BLUE WATER BLVD STE 315&317, ODENTON, MD 21113-3309
(443) 759-9592
Mailing address
4083 DORSEYS RIDGE SQ, ELLICOTT CITY, MD 21043-5469
(443) 224-3002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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