Provider Demographics
NPI:1053087973
Name:TRANSFROM BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:TRANSFROM BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JONASSAINT
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:919-219-1754
Mailing Address - Street 1:884 OAK ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1140
Mailing Address - Country:US
Mailing Address - Phone:919-219-1754
Mailing Address - Fax:
Practice Address - Street 1:4889 SINCLAIR RD STE 104
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5433
Practice Address - Country:US
Practice Address - Phone:415-294-1754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS.1601164OtherLSW