Provider Demographics
NPI:1760193593
Name:TRANSFORMATIVE THERAPY SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRANSFORMATIVE THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-606-9124
Mailing Address - Street 1:2 BELVEDERE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3911
Mailing Address - Country:US
Mailing Address - Phone:203-606-9124
Mailing Address - Fax:
Practice Address - Street 1:2 BELVEDERE RD
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3911
Practice Address - Country:US
Practice Address - Phone:203-606-9124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty