MEDICARE: TRANSFORMMIND BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144102179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORMMIND BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	7916 ELMSTONE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-6982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7916 ELMSTONE CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-6982
Country	:	US
Telephone Number	:	407-802-8582
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SONIA GARCIA PONS
Credential	:	LMHC
Telephone Number	:	407-802-8582

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	03/26/2026

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