Provider Demographics
NPI:1275005886
Name:TRANSFORMATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:TRANSFORMATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:240-462-0302
Mailing Address - Street 1:3112 PLANTATION PKWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2118
Mailing Address - Country:US
Mailing Address - Phone:240-462-0302
Mailing Address - Fax:703-995-4542
Practice Address - Street 1:8401 LEAF RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-1707
Practice Address - Country:US
Practice Address - Phone:240-462-0302
Practice Address - Fax:703-995-4542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities