Organization
B. TRANSFORMED CONSULTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE BISHOP LCPC (CEO/THERAPIST)
(301) 885-7579
Entity
Organization
Contact information
Practice address
3195 OLD WASHINGTON RD STE 225, WALDORF, MD 20602-3201
(301) 885-7579
Mailing address
PO BOX 872, LA PLATA, MD 20646-0872
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033896600
—
MD
05
—
1922148014
—
MD
Enumeration date
05/10/2019
Last updated
05/10/2019
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