Provider Demographics
NPI:1710169297
Name:TRANSFORMATIONS COUNSELING MINISTRY
Entity Type:Organization
Organization Name:TRANSFORMATIONS COUNSELING MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BRECKENRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, MFT
Authorized Official - Phone:760-439-2273
Mailing Address - Street 1:420-B N. EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-7868
Mailing Address - Country:US
Mailing Address - Phone:760-439-2273
Mailing Address - Fax:760-439-1974
Practice Address - Street 1:420-B N. EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-7868
Practice Address - Country:US
Practice Address - Phone:760-439-2273
Practice Address - Fax:760-439-1974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable