Provider Demographics
NPI:1922747906
Name:TRANSFORMATIVE BEGINNINGS, LLC
Entity Type:Organization
Organization Name:TRANSFORMATIVE BEGINNINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ESPERANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLENILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:667-298-9638
Mailing Address - Street 1:7719 GASTON PL
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8624
Mailing Address - Country:US
Mailing Address - Phone:667-298-9638
Mailing Address - Fax:
Practice Address - Street 1:7719 GASTON PL
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8624
Practice Address - Country:US
Practice Address - Phone:667-298-9638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty