Provider Demographics
NPI:1902649692
Name:TRANSFORMATIVE SOLUTIONS, LLC
Entity type:Organization
Organization Name:TRANSFORMATIVE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:DR
Authorized Official - First Name:MADALYN
Authorized Official - Middle Name:TINIA
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:334-544-1301
Mailing Address - Street 1:3937 KERRI CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-2313
Mailing Address - Country:US
Mailing Address - Phone:334-220-2416
Mailing Address - Fax:
Practice Address - Street 1:4110 WALL ST STE C
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2925
Practice Address - Country:US
Practice Address - Phone:334-544-1301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty