Transformation Center for Victims of Abuse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C-01284 Issued in MI

Legal business name

TRANSFORMATION CENTER FOR VICTIMS OF ABUSE

Practice address

23411 Jefferson Ave
107
Saint Clair Shores, MI 48080-1949

Phone

(586) 585-1789

Fax

(586) 585-1332

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Della Marie Hamblin-Clark

Title

Founder/President/Ceo

Phone

(586) 718-7456

Specialties & licenses 1

Addresses

Other names 1

• Transformation Center Other name

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1609300490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23411 JEFFERSON AVE",
            "address_2": "107",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801949",
            "telephone_number": "586-585-1789",
            "fax_number": "586-585-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23411 JEFFERSON AVE",
            "address_2": "107",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801949",
            "telephone_number": "586-585-1789",
            "fax_number": "586-585-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION CENTER FOR VICTIMS OF ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN-CLARK",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "586-718-7456",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "C-01284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracey Torosian, PH.D.
• Julie Torrens
• Allen Toubia
• Jamison Townsend
• Tracey Torosian, PH.D., PLLC
• Lauren Traub, FNP
• Jack Trebelhorn, MD
• Tree of Life Services, LLC
• Carol Trinity
• Kennedy Trombley, RN

• Community/Behavioral Health Agency in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.