Provider Demographics
NPI:1467895573
Name:TRANSFORMATION THROUGH THERAPY, LCSW, PLLC
Entity Type:Organization
Organization Name:TRANSFORMATION THROUGH THERAPY, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LBA, BCBA
Authorized Official - Phone:914-462-1926
Mailing Address - Street 1:55 BENNETT AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6300
Mailing Address - Country:US
Mailing Address - Phone:914-751-2470
Mailing Address - Fax:
Practice Address - Street 1:55 BENNETT AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-6300
Practice Address - Country:US
Practice Address - Phone:914-462-1926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY71 001418251S00000X
NY079028252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health