Organization

Transformation Therapy Services, Inc

Community/Behavioral Health Agency in Covington, GA(View on Map)

Legal Business Name

Transformation Therapy Services, Inc

NPI Number

1528489473

NPI Type

Organization

Enumeration Date

12/19/2013

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

LPC005742

Contact
Information

Purpose

Mailing
Location

Address

5109 HIGHWAY 278 NE STE D
5109 HIGHWAY 278 NE STE D

City

Covington
Covington

State

GA
GA

Postal Code

30014-2608
30014-2608

Country

US
US

Telephone Number

(770) 787-2301
(770) 787-2301

Authorized Official

Name

Angela Hardy

Title or Position

OWNER

Telephone Number

(770) 317-0430

Identifiers

Identifier

003107063A

Identifier State

GA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/21/2016

Provider Address

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