| Transformation Therapy Inc | |
|
3668 Turtle Island Ct West Palm Beach FL 33411-6444 | |
| (240) 605-2882 | |
| Not Available |
| Full Name | Transformation Therapy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3668 Turtle Island Ct, West Palm Beach, Florida |
| Authorized Official Name and Position | Rose Coretta Merchant (PRESIDENT) |
| Authorized Official Contact | 2406052882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Therapy Inc 3668 Turtle Island Ct West Palm Beach FL 33411 Ph: (240) 605-2882 | Transformation Therapy Inc 3668 Turtle Island Ct West Palm Beach FL 33411-6444 Ph: (240) 605-2882 |
| NPI Number | 1467905166 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 12/06/2019 |
| Medicare PECOS PAC ID | 4183902729 |
|---|---|
| Medicare Enrollment ID | O20161101002635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467905166 | NPI | - | NPPES |
| Provider Name | Rose C Merchant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649470873 PECOS PAC ID: 7618063314 Enrollment ID: I20160126002155 |
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