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NPI Code Detail

MEDICARE: TRANSFORMATIVE HEALING AND WELLNESS

MEDICARE: TRANSFORMATIVE HEALING AND WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1164163747
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSFORMATIVE HEALING AND WELLNESS
Provider Business Mailing Address
First Line : PO BOX 1047
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-1015
Country : US
Telephone Number : 443-929-2272
Fax Number :
Provider Business Practice Location Address
First Line : 10451 MILL RUN CIR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5594
Country : US
Telephone Number : 443-940-5550
Fax Number : 443-940-5550
Authorized Official
Title or Position : OWNER
Name : JULIE JEANETTE GREENE
Credential : LCSW-C
Telephone Number : 443-929-2272
Provider Enumeration Date : 04/06/2022
Last Update Date : 06/23/2026

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Directions to “TRANSFORMATIVE HEALING AND WELLNESS ” Practice Location

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