Transformation Health, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 312 Martin Luther King Jr Blvd Ste 300, Baltimore, MD 21201-1221
Phone: 4437599592

Transformation Health, LLC (NPI# 1760031397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1760031397
Entity Type Organization
Organization Name TRANSFORMATION HEALTH, LLC
Practice Address 312 Martin Luther King Jr Blvd Ste 300
Baltimore
MD 21201-1221
Practice Telephone 4437599592
Practice Fax Number 4438150988
Mailing Address 312 Martin Luther King Jr Blvd Ste 300
Baltimore
MD 21201-1221
Mailing Telephone 4432243002
Mailing Fax Number 4438150988
Authorized Official Name Ms. Monica Laney Boddie (CEO)
Authorized Official Telephone 4432243002
Authorized Official Credential MSW-LCSW-C
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-09-06
Last Update Date 2019-09-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities

Providers with the same name

NPI Name Taxonomy Address Enumeration
1912201021 Transformation Health, LLC Social Worker 9845 Decatur Rd, Baltimore, MD 21220-3776 2011-01-04

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 312 MARTIN LUTHER KING JR BLVD STE 300
City BALTIMORE
State MD
Zip Code 21201-1221

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1043875008 Bobbi-jo Elisabeth Lowie Student in an Organized Health Care Education/Training Program 110 South Paca Street, Departmentofemergencymedicine, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-05-06
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
1013499474 Quadrant Systems LLC Pharmacy 622 A North Eutaw St, Baltimore, MD 21201 2018-09-02
1356848741 Nichole Marie Shaw Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Floor, Suite 300, Baltimore, MD 21201 2018-04-11
1144726886 Shweta Shukla Student in an Organized Health Care Education/Training Program 22 South Green Street, Room N3e09, Baltimore, MD 21201 2018-04-02
1649774696 Rachel Wiltjer Student in an Organized Health Care Education/Training Program 110 S. Paca St, 6th Flr Suite 200, Baltimore, MD 21201 2018-03-22
1700380458 Brian De Palma Student in an Organized Health Care Education/Training Program 110 S Paca Street, 6th Floor, Suite 300, Baltimore, MD 21201 2018-03-19
1053813535 Unlimited Bounds Human Services LLC Clinic/Center 1 North Charles Street, 4th Floor, Baltimore, MD 21201 2018-03-01
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Competitor

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City BALTIMORE
Zip Code 21201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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