Provider Demographics
NPI:1649565151
Name:TRANSFORMATIONS BY THE GULF
Entity Type:Organization
Organization Name:TRANSFORMATIONS BY THE GULF
Other - Org Name:SOBER LIVING BY THE GULF
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-463-5079
Mailing Address - Street 1:7217 GULF BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-1952
Mailing Address - Country:US
Mailing Address - Phone:727-463-5079
Mailing Address - Fax:727-498-8686
Practice Address - Street 1:7217 GULF BLVD STE 1
Practice Address - Street 2:
Practice Address - City:ST PETE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33706-1952
Practice Address - Country:US
Practice Address - Phone:727-463-5079
Practice Address - Fax:727-498-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL06-52-AD-4887-01324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility