Provider Demographics
NPI:1578789574
Name:TRANSFORMEDIA LLC
Entity Type:Organization
Organization Name:TRANSFORMEDIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MRAMOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-445-5352
Mailing Address - Street 1:9401 MCKNIGHT RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6000
Mailing Address - Country:US
Mailing Address - Phone:412-445-5352
Mailing Address - Fax:412-630-8350
Practice Address - Street 1:4284 WILLIAM FLYNN HWY STE 206
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1440
Practice Address - Country:US
Practice Address - Phone:412-445-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA004833-L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty