Provider Demographics
NPI: | 1306734694 |
---|---|
Name: | TRANSFORMATION COUNSELING, LLC |
Entity type: | Organization |
Organization Name: | TRANSFORMATION COUNSELING, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/CLINICIAN |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KARLENE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BARNETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LADC |
Authorized Official - Phone: | 203-727-0232 |
Mailing Address - Street 1: | 35 ASHTON STREET |
Mailing Address - Street 2: | |
Mailing Address - City: | BRIDGEPORT |
Mailing Address - State: | CT |
Mailing Address - Zip Code: | 06606-2485 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 203-727-0232 |
Mailing Address - Fax: | 203-727-0232 |
Practice Address - Street 1: | 35 ASHTON STREET |
Practice Address - Street 2: | |
Practice Address - City: | BRIDGEPORT |
Practice Address - State: | CT |
Practice Address - Zip Code: | 06606-2485 |
Practice Address - Country: | US |
Practice Address - Phone: | 203-727-0232 |
Practice Address - Fax: | 203-727-0232 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-06-25 |
Last Update Date: | 2025-06-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Single Specialty |