Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Transformation Therapy Center Inc

Organization Clinical Psychologist · NPI 1609190750

Transformation Therapy Center Inc is a Clinical Psychologist in Clinton, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10401 Hospital Dr Ste G-03
Clinton, MD 20735-3110
Phone: (301) 856-6000
Fax: (301) 856-8389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10425 (MD)
Clinical Psychologist Taxonomy 103TC0700X · Licence 04071 (MD)

Record details

NPI number1609190750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellie Jamison — Lc Sw-C · (301) 856-6000
NPI enumeratedMarch 18, 2010
Last updated in NPPESAugust 31, 2010
Mailing address10401 Hospital Dr, Suite G-03, Clinton, MD 20735-3110

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