Healthcare Provider Details

I. General information

NPI: 1265316368
Provider Name (Legal Business Name): RADICAL TRANSFORMATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 TRUXTUN AVE SUITE #220
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

1220 OAK STREET SUITE J #1060
BAKERSFIELD CA
93304
US

V. Phone/Fax

Practice location:
  • Phone: 424-235-0566
  • Fax:
Mailing address:
  • Phone: 424-235-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CANDICE MUHAMMAD
Title or Position: CEO
Credential: LMFT
Phone: 661-308-6288