| Transformation Center | |
|
2210 Granite Park Lane Richmond TX 77469 | |
| (469) 912-1604 | |
| Not Available |
| Full Name | Transformation Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2210 Granite Park Lane, Richmond, Texas |
| Authorized Official Name and Position | Laquinta Neal (DIRECTOR) |
| Authorized Official Contact | 5019930765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Center 2210 Granite Park Ln Richmond TX 77469-2177 Ph: (501) 993-0765 | Transformation Center 2210 Granite Park Lane Richmond TX 77469 Ph: (469) 912-1604 |
| NPI Number | 1063271401 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063271401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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