Provider Demographics
NPI:1124678990
Name:TRANSFORMATIONS BIP LLC
Entity type:Organization
Organization Name:TRANSFORMATIONS BIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FARBER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-902-9100
Mailing Address - Street 1:9521B RIVERSIDE PKWY # 341
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7304
Mailing Address - Country:US
Mailing Address - Phone:918-902-9100
Mailing Address - Fax:
Practice Address - Street 1:1831 E 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3922
Practice Address - Country:US
Practice Address - Phone:539-202-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)