Provider Demographics
NPI:1821846023
Name:TRANSFORMATION HAVEN COUNSELING LLC
Entity type:Organization
Organization Name:TRANSFORMATION HAVEN COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-622-4066
Mailing Address - Street 1:1801 SARNO RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-3989
Mailing Address - Country:US
Mailing Address - Phone:321-622-4066
Mailing Address - Fax:321-306-2879
Practice Address - Street 1:1600 SARNO RD STE 12
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-4993
Practice Address - Country:US
Practice Address - Phone:321-622-4066
Practice Address - Fax:321-306-2879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TONIA L. MEYERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-11
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty