MEDICARE: TRANSFORMATIONS INCORPORATED

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		WI

General Provider Information

NPI Number	:	1649490020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSFORMATIONS INCORPORATED

Provider Business Mailing Address
First Line	:	4200 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2250
Country	:	US
Telephone Number	:	414-351-5770
Fax Number	:	414-351-5760

Provider Business Practice Location Address
First Line	:	4200 W GOOD HOPE RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-2250
Country	:	US
Telephone Number	:	414-351-5770
Fax Number	:	414-351-5760

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JIM MORNINGSTAR
Credential	:	PH.D.
Telephone Number	:	414-351-5770

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/22/2020

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Directions to “TRANSFORMATIONS INCORPORATED ” Practice Location

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