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NPI Code Detail

MEDICARE: TRANSFORMATION COUNSELING SERVICES LLC

MEDICARE: TRANSFORMATION COUNSELING SERVICES 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1821869819
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSFORMATION COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 24 BEACON WAY APT 308
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-6143
Country : US
Telephone Number : 347-612-7013
Fax Number :
Provider Business Practice Location Address
First Line : 24 BEACON WAY APT 308
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07304-6143
Country : US
Telephone Number : 347-612-7013
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PIA JOHNSON
Credential : LCSW
Telephone Number : 347-612-7013
Provider Enumeration Date : 01/10/2024
Last Update Date : 01/06/2026

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Directions to “TRANSFORMATION COUNSELING SERVICES LLC ” Practice Location

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