Transformations Mending Fences, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TRANSFORMATIONS MENDING FENCES, LLC

Practice address

15530 W Highway 326
Morriston, FL 32668-7311

Phone

(561) 501-5260

Fax

(954) 982-6648

NPI assigned

Jan 3, 2021

Last updated

Mar 8, 2022By 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

Thomas Hasson

Title

Director of Billing

Phone

(561) 237-5306

Specialties & licenses 2

Addresses

Tax ID family

Transformations Mending Fences LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Transformations Mending Fences, LLC

  • Substance Abuse Rehabilitation Facility
  • Morriston, FL
  • NPI 1669008736
  NPD tax ID

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1417545732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733932",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733932",
            "fax_number": "954-982-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W HIGHWAY 326",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326687311",
            "telephone_number": "561-501-5260",
            "fax_number": "954-982-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS MENDING FENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "HASSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "561-237-5306"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mending Fences Behavioral Health Services, LLC (Haven Detox Morriston, LLC)
• Mending Fences Behavioral Health Services, LLC
• On the Other Side of the Fence, Inc.
• Mario J Pinder
• Thomas Choice Healthcare Providers Inc
• Transformations Mending Fences, LLC
• Transformative Trek Therapy LLC
• Paige Ashley Markham Uebele
• Lisa Walter, MS-CCC, SLP

• Psychiatry Physician in Morriston, FL
• Providers in Morriston, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.