Provider Demographics
NPI:1801186168
Name:TRANSFORMATIONAL SOLUTIONS
Entity Type:Organization
Organization Name:TRANSFORMATIONAL SOLUTIONS
Other - Org Name:SHIRLEY BEMIS DAIGNEAULT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:BEMIS
Authorized Official - Last Name:DAIGNEAULT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:240-401-1870
Mailing Address - Street 1:650 ATWELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:WENTWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03282-3213
Mailing Address - Country:US
Mailing Address - Phone:240-401-1870
Mailing Address - Fax:603-536-1175
Practice Address - Street 1:258 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3612
Practice Address - Country:US
Practice Address - Phone:240-401-1870
Practice Address - Fax:603-536-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty