Transformational Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRANSFORMATIONAL RECOVERY

Practice address

535 Dundalk Ave Unit B
Baltimore, MD 21224-2903

Phone

(443) 398-1414

NPI assigned

Dec 24, 2021

Last updated

Dec 24, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenya Conway

Title

Co-Owner

Phone

(443) 398-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Transformational Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Transformational Recovery

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1477267680
  NPD tax ID
• Transformational Recovery

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1801556337
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1275293706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242903",
            "telephone_number": "443-398-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 DUNDALK AVE UNIT B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242903",
            "telephone_number": "443-398-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-398-1414"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHA LICENSE NUMBER",
            "identifier": "211011741",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kenyaconway1@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "535 Dundalk Ave Unit B",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212242903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Transformation Healthcare Inc.
• Transformation Healthcare Inc.
• Transformation Healthcare Inc.
• Transformation Station LLC
• Transformation Station LLC
• Transformational Recovery
• Transformational Recovery
• Transformative Mental Wellbeing Group, LLC
• Transformed Healthcare Services LLC
• Transformed Perspectives (Transformed Perspectives- Group Practice)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.