Transformation Waco

NPI #1376315929 in Waco, Texas

Provider Information

NPI Number: 1376315929
Entity Type: Organization
Organization Name: Transformation Waco
Primary Specialty: Clinic/Center
Enumeration Date: Oct 26, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 3005 EDNA AVE
City: Waco
State: Texas
ZIP Code: 76708-1849
Phone: (254) 754-9169

Authorized Official

Name: SARAH PEDROTTI
Title: EXECUTIVE DIRECTOR STUDENT ADVOCACY
Phone: (254) 754-9169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Optometrist	152W00000X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Community/Behavioral Health	251S00000X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Non-emergency Medical Transport (VAN)	343900000X
Case Management	251B00000X
Clinic/Center	261Q00000X	Primary

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