Healthcare Provider Details

I. General information

NPI: 1598660565
Provider Name (Legal Business Name): TRANSFORMATIVE HEALTH AND BEHAVIOR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1069 RINGWOOD AVE STE 210B
HASKELL NJ
07420-1451
US

IV. Provider business mailing address

62 CHESHIRE LN
RINGWOOD NJ
07456-2743
US

V. Phone/Fax

Practice location:
  • Phone: 201-350-7225
  • Fax: 201-361-5435
Mailing address:
  • Phone: 201-350-7225
  • Fax: 201-361-5435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MELISSA SCOLLAN-KOLIOPOULOS
Title or Position: NURSE PRACTITIONER
Credential: DNP PMHNP
Phone: 201-350-7225