| Transformational Healthcare Services | |
|
123 Highland Ave Ste G2-a Glen Ridge NJ 07028-1527 | |
| (888) 344-4549 | |
| (908) 652-9230 |
| Full Name | Transformational Healthcare Services |
|---|---|
| Speciality | Counselor |
| Location | 123 Highland Ave Ste G2-a, Glen Ridge, New Jersey |
| Authorized Official Name and Position | Simeon Mertyl (CEO PRESIDENT) |
| Authorized Official Contact | 8883444549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Healthcare Services 111 Town Square Place Suite 1203 Pmb 1039 Jersey City NJ 07310-2784 Ph: (888) 344-4549 | Transformational Healthcare Services 123 Highland Ave Ste G2-a Glen Ridge NJ 07028-1527 Ph: (888) 344-4549 |
| NPI Number | 1669082756 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 0547672016 |
|---|---|
| Medicare Enrollment ID | O20201208001233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669082756 | NPI | - | NPPES |
| Provider Name | Alexandra M D'elia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922558790 PECOS PAC ID: 4183907751 Enrollment ID: I20170206000090 |
| Provider Name | Dione Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912044595 PECOS PAC ID: 6800029661 Enrollment ID: I20180424002860 |
| Provider Name | Christine Limpin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881183382 PECOS PAC ID: 7315359130 Enrollment ID: I20201218000621 |
| Provider Name | Nancy Dessources Adegoke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154503191 PECOS PAC ID: 3779807003 Enrollment ID: I20201221000028 |
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