TRANSFORMATION HEALTH LLC NPI 1386235729

NPI Information

  • NPI: 1386235729
  • Provider Name: TRANSFORMATION HEALTH, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 312 MARTIN LUTHER KING JR BLVD STE 103&300
    BALTIMORE, MD
    ZIP 21201
  • Phone: (443) 759-9592

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NPI Details

TRANSFORMATION HEALTH, LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. TRANSFORMATION HEALTH, LLC NPI is 1386235729. The provider is registered as an organization entity type.

The provider's business location address is:

312 MARTIN LUTHER KING JR BLVD STE 103&300
BALTIMORE, MD
ZIP 21201-221
Phone: (443) 759-9592
Fax: (443) 817-0988

The provider's authorized official is Monica Laney Boddie .
The authorized official title is Ceo and has the following contact phone number (443) 224-3002.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 1/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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