Healthcare Provider Details

I. General information

NPI: 1992590889
Provider Name (Legal Business Name): TRANSFORMATIONS COUNSELING & PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 E MAIN ST STE 820
RICHMOND VA
23219-2428
US

IV. Provider business mailing address

800 N 22ND ST
RICHMOND VA
23223-6432
US

V. Phone/Fax

Practice location:
  • Phone: 804-885-3046
  • Fax:
Mailing address:
  • Phone: 419-302-9602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. MILO S WILSON
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD
Phone: 804-885-3046