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General NPI Number Information
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NPI Number | 1437891587
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIVE BEGINNINGS, LLC
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Dates
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Enumeration Date | 04/09/2022
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Last Update Date | 08/17/2024
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Provider Practice Location Address
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Address Line | 7310 RITCHIE HWY STE 200-GB37
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3065
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Country | US
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Telephone | 667-415-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 7310 RITCHIE HWY STE 200-GB37
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3065
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Country | US
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Telephone | 667-415-6545
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ESPERANZA BALLENILLA
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Credential |
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Telephone | 253-886-7324
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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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