| Transforming Your Mind, Llc | |
|
1 E Chase St Ste 209 212 213 215 Baltimor MD 21202-2526 | |
| (443) 991-1370 | |
| Not Available |
| Full Name | Transforming Your Mind, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 E Chase St Ste, Baltimor, Maryland |
| Authorized Official Name and Position | Formka Johnson (OWNER/ SOCIAL WORKER) |
| Authorized Official Contact | 4439911370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transforming Your Mind, Llc 1113 E Preston St Baltimore MD 21202-5621 Ph: (443) 991-1370 | Transforming Your Mind, Llc 1 E Chase St Ste 209 212 213 215 Baltimor MD 21202-2526 Ph: (443) 991-1370 |
| NPI Number | 1962109488 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 08/06/2023 |
| Certification Date | 08/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962109488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |