Organization
TRANSFORMATION COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEKEA C ANDERSON MSW (CLINICAL SOCIAL WORKER)
(301) 627-3686
Entity
Organization
Contact information
Practice address
4634 COLONEL FENWICK PL, UPPER MARLBORO, MD 20772-5940
(301) 627-3686
Mailing address
4634 COLONEL FENWICK PL, UPPER MARLBORO, MD 20772-5940
(301) 627-3686
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13403
MD
251S00000X
Community/Behavioral Health Agency
LC50078339
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058853900
—
MD
Enumeration date
01/20/2014
Last updated
01/20/2014
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