Provider Demographics
NPI:1700501822
Name:TRANSFORMATIVE PATHWAYS, PLLC
Entity Type:Organization
Organization Name:TRANSFORMATIVE PATHWAYS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORALIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:NOAGARSHETH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:321-663-4987
Mailing Address - Street 1:3761 CRAWLEY DOWN LOOP
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-7128
Mailing Address - Country:US
Mailing Address - Phone:321-663-4987
Mailing Address - Fax:
Practice Address - Street 1:3761 CRAWLEY DOWN LOOP
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-7128
Practice Address - Country:US
Practice Address - Phone:689-248-4246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty