Provider Demographics
NPI:1336636133
Name:FRIENDS IN TRANSFORMATION LLC
Entity Type:Organization
Organization Name:FRIENDS IN TRANSFORMATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELVA
Authorized Official - Middle Name:F
Authorized Official - Last Name:SAJNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-363-6877
Mailing Address - Street 1:2031 GEES MILL RD NE STE 102
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1328
Mailing Address - Country:US
Mailing Address - Phone:251-363-6877
Mailing Address - Fax:770-679-5732
Practice Address - Street 1:2031 GEES MILL RD NE STE 102
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1328
Practice Address - Country:US
Practice Address - Phone:251-363-6877
Practice Address - Fax:770-679-5732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty