Provider Demographics
NPI:1942761770
Name:TRANSFORMATION THERAPY SERVICES
Entity Type:Organization
Organization Name:TRANSFORMATION THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CADC, ICGC1
Authorized Official - Phone:302-518-7411
Mailing Address - Street 1:513 VANDEVER AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-4240
Mailing Address - Country:US
Mailing Address - Phone:302-518-7411
Mailing Address - Fax:
Practice Address - Street 1:513 VANDEVER AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-4240
Practice Address - Country:US
Practice Address - Phone:302-518-7411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty