Organization
TRANSFORMATIVE PSYCHIATRY PLLC
Active
Organization
TRANSFORMATIVE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHELTENHAM MD (OWNER)
(919) 855-1152
Entity
Organization
Contact information
Practice address
4208 SIX FORKS RD STE 1000, RALEIGH, NC 27609-5738
(919) 341-7182
(919) 341-7129
Mailing address
4208 SIX FORKS RD STE 1000, RALEIGH, NC 27609-5738
(919) 341-7182
(919) 341-7129
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659107559
PSYCHIATRY
—
Enumeration date
08/15/2025
Last updated
08/15/2025
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