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NPI 1225970841

NPI 1225970841 : TRANSFORMATION COUNSELING AGENCY : CRANSTON, RI

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General NPI Number Information
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    NPI Number           |    1225970841
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSFORMATION COUNSELING AGENCY 
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Dates
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    Enumeration Date     |    04/06/2026
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    Last Update Date     |    04/06/2026
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Provider Practice Location Address
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    Address Line         |    148 ATWOOD AVE 
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    City                 |    CRANSTON
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    State                |    RI
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    Zip                  |    02920-4130
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    Country              |    US
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    Telephone            |    508-971-1904
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    148 ATWOOD AVE 
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    City                 |    CRANSTON
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    State                |    RI
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    Zip                  |    02920-4130
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    Country              |    US
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    Telephone            |    508-971-1904
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     HENRY  YOUNG 
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    Credential           |    
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    Telephone            |    508-971-1904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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