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General NPI Number Information
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NPI Number | 1033919121
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Entity Type | Organization
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Legal Business Name | TRANSFORM MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 26650 WESLEY CHAPEL BLVD
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City | LUTZ
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State | FL
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Zip | 33559-7203
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Country | US
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Telephone | 813-597-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 12207 STONELAKE RANCH BLVD
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City | THONOTOSASSA
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State | FL
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Zip | 33592-3910
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Country | US
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Telephone | 813-597-1313
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHANNA TRAN
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Credential | MD
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Telephone | 813-597-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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