Provider Demographics
NPI:1275248031
Name:VALI TRANSFORMATION
Entity Type:Organization
Organization Name:VALI TRANSFORMATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WINT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:561-509-4888
Mailing Address - Street 1:843 MERIDIAN AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-5734
Mailing Address - Country:US
Mailing Address - Phone:561-509-4888
Mailing Address - Fax:
Practice Address - Street 1:601 BRICKELL KEY DR STE 700
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2649
Practice Address - Country:US
Practice Address - Phone:561-509-4888
Practice Address - Fax:786-705-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty