| Transformational Growth Llc | |
|
3030 N Rocky Point Dr W Ste 150 Tampa FL 33607-7200 | |
| (813) 846-2690 | |
| Not Available |
| Full Name | Transformational Growth Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3030 N Rocky Point Dr W Ste 150, Tampa, Florida |
| Authorized Official Name and Position | Kristin Keough Williams (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8138462690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Growth Llc 3030 N Rocky Point Dr W Ste 150 Tampa FL 33607-7200 Ph: (813) 846-2690 | Transformational Growth Llc 3030 N Rocky Point Dr W Ste 150 Tampa FL 33607-7200 Ph: (813) 846-2690 |
| NPI Number | 1760814909 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Medicare PECOS PAC ID | 9830511138 |
|---|---|
| Medicare Enrollment ID | O20200615001563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760814909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY8200 (Illinois) | Primary |
| Provider Name | Kristin K Keough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598068223 PECOS PAC ID: 1557541091 Enrollment ID: I20110215000962 |
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