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TRANSFORMATION WACO NPI 1376315929


NPI Information

NPI: 1376315929
Provider Name: TRANSFORMATION WACO
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3005 EDNA AVE
WACO, TX
ZIP 76708
Phone: (254) 754-9169
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TRANSFORMATION WACO is a clinic center in Waco, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TRANSFORMATION WACO NPI is 1376315929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3005 EDNA AVE
WACO, TX
ZIP 76708-849
Phone: (254) 754-9169

The provider's authorized official is Sarah Pedrotti .
The authorized official title is Executive Director Student Advocacy and has the following contact phone number (254) 754-9169.

The enumeration date for this NPI number is 10/26/2023 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2152W00000XOptometristNo
3152WP0200XOptometristPediatricsNo
4251S00000XCommunity/Behavioral HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
6343900000XNon-emergency Medical Transport (VAN)No
7251B00000XCase ManagementNo
8261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.