Transformation Therapeutic Services

Primary specialty

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

Legal business name

TRANSFORMATION THERAPEUTIC SERVICES

Practice address

16703 Governor Bridge Rd Apt 203
Bowie, MD 20716-3678

Phone

(240) 441-3344

NPI assigned

Aug 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Johnson

Title

Ceo

Phone

(240) 441-3344

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Bolling

  • Mental Health Counselor
  • Bowie, MD
  • NPI 1639789142
  NPD

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627776000000",
    "number": "1285307595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 GOVERNOR BRIDGE RD APT 203",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 GOVERNOR BRIDGE RD APT 203",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163678",
            "telephone_number": "240-441-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-441-3344",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Wellness Medical Center LLC
• Touchstone Imaging of Bowie LLC
• Melinda Toussaint, MSN, FNP-BC
• Anhthu Tran
• Jason M Tran, PHARMD
• Transitionalhealthcare
• Brenda J. Travis, M.S.
• Traymaya Health Services
• Janice Trent, AU.D.
• Ella Louise Tressler, MSW, LCSW-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bowie, MD
• Providers in Bowie, 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 Aug 1, 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.