Provider Demographics
NPI:1336913656
Name:TOTAL TRANSFORMATION CARE
Entity Type:Organization
Organization Name:TOTAL TRANSFORMATION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-541-4599
Mailing Address - Street 1:316 STONEHENGE DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-9174
Mailing Address - Country:US
Mailing Address - Phone:757-541-4599
Mailing Address - Fax:
Practice Address - Street 1:316 STONEHENGE DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-9174
Practice Address - Country:US
Practice Address - Phone:757-541-4599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B-GATLING ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health