Organization
TRANSFORMATION THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA K HARDY LPC (OWNER)
(770) 317-0430
Entity
Organization
Contact information
Practice address
5109 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-2608
(770) 787-2301
(770) 787-9460
Mailing address
5109 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-2608
(770) 787-2301
(770) 787-9460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC005742
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107063A
—
GA
Enumeration date
12/19/2013
Last updated
06/21/2016
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