TRANSFORMATIONS MENDING FENCES, LLC - NPI 1417545732 - Psychiatry & Neurology in Morriston, FL

Q: What is Transformations Mending Fences, LLC's NPI number?

The NPI number for Transformations Mending Fences, LLC is 1417545732. It was assigned to this organization in the NPPES registry on January 3, 2021.

Q: What is Transformations Mending Fences, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

On this page

About Transformations Mending Fences, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATIONS MENDING FENCES, LLC (NPI 1417545732) is a healthcare organization registered as a psychiatry in Morriston, Florida and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Thomas Hasson, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1417545732

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameTRANSFORMATIONS MENDING FENCES, LLC

Location Address15530 W HIGHWAY 326Morriston, FL 32668-7311

Mailing AddressPo Box 733932Dallas, TX 75373-3932 · Fax (954) 982-6648

Phone(561) 501-5260

Fax(954) 982-6648

Organization SubpartNo

Authorized OfficialThomas HassonDirector Of Billing · (561) 237-5306

Enumeration DateJanuary 3, 2021

Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration

NPPES CertifiedMarch 8, 2022

✔ NPI 1417545732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

15530 W HIGHWAY 326, Morriston, FL 32668

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2199193

Transofrmation Mending Fences, LLC · Morriston, FL

Active · expires Nov 5, 2026

CLIA Number10D2199193

Laboratory TypeSa/Mhtreatment Facility

Certificate Effective DateNovember 6, 2024

Certificate Expiration DateNovember 5, 2026

Laboratory DirectorJessica Peterson

Laboratory Phone(561) 819-0620

Laboratory LocationTransofrmation Mending Fences, LLC15530 W Hwy 326, Morriston, FL 32668

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY JAWORSKI LCSW

Social Worker (Clinical)