Organization
TRANSFORMATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOTHIA GREEN PSYD (OWNER)
(301) 613-6043
Entity
Organization
Contact information
Practice address
5211 AUTH RD, SUITE 202B, SUITLAND, MD 20746-4339
(301) 761-3614
Mailing address
5211 AUTH RD, SUITE 202B, SUITLAND, MD 20746-4339
(301) 613-6043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
09/28/2015
Last updated
04/06/2017
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