Provider Demographics
NPI:1801044250
Name:TRANSFORMATION COUNSELING CENTER INC.
Entity Type:Organization
Organization Name:TRANSFORMATION COUNSELING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:HARLAN
Authorized Official - Last Name:OLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:724-496-8377
Mailing Address - Street 1:225 SAXONBURG RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-3636
Mailing Address - Country:US
Mailing Address - Phone:724-496-8377
Mailing Address - Fax:
Practice Address - Street 1:225 SAXONBURG RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-3636
Practice Address - Country:US
Practice Address - Phone:724-496-8377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1264971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty