Organization
TRANSFORMATION PROJECT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILISA LAWLESS LMFT (PRESIDENT)
(954) 797-7430
Entity
Organization
Contact information
Practice address
4431 SW 64TH AVE, SUITE 107, DAVIE, FL 33314-3458
(954) 797-7430
Mailing address
4431 SW 64TH AVE, SUITE 107, DAVIE, FL 33314-3458
(954) 797-7430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7080
FL
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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