MEDICARE: TRANSFORMATIONS COUNSELING & CONSULTING INC

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	101YM0800X	Mental Health Counselor	152304-8049	VA

General Provider Information

NPI Number	:	1235645771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORMATIONS COUNSELING & CONSULTING INC

Provider Business Mailing Address
First Line	:	2816 CHRISTOPHER FARMS DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-6681
Country	:	US
Telephone Number	:	757-536-3257
Fax Number	:	757-430-1969

Provider Business Practice Location Address
First Line	:	6052 PROVIDENCE RD STE 103
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3816
Country	:	US
Telephone Number	:	757-536-3257
Fax Number	:	757-430-1869

Authorized Official
Title or Position	:	CEO
Name	:	MS. ANDREA D JOSEPHS
Credential	:	MSED, MA, NCC
Telephone Number	:	757-536-3257

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	12/20/2017

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