Provider Demographics
NPI:1164163747
Name:TRANSFORMATIVE HEALING AND WELLNESS
Entity Type:Organization
Organization Name:TRANSFORMATIVE HEALING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-929-2272
Mailing Address - Street 1:PO BOX 1047
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1015
Mailing Address - Country:US
Mailing Address - Phone:443-929-2272
Mailing Address - Fax:
Practice Address - Street 1:9505 REISTERSTOWN RD # 3NW
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4451
Practice Address - Country:US
Practice Address - Phone:443-940-5550
Practice Address - Fax:410-504-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty