Transformation Waco

Clinic/Center · Waco, TX

Organization Active NPI

NPI number 1376315929

Practice location

3005 Edna Ave
Waco, TX 76708-1849
Phone
(254) 754-9169

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NPI record

NPI
1376315929
Entity type
Organization (Type 2)
Enumeration date
October 26, 2023
Last updated
October 26, 2023
Certified
October 5, 2023
Organization subpart
No

Specialties & taxonomy codes

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

Authorized official

Name
Sarah Pedrotti
Title
Executive Director Student Advocacy
Phone
(254) 754-9169

About Transformation Waco

Transformation Waco is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 3005 Edna Ave, Waco, TX 76708-1849. The NPI number 1376315929 was assigned on October 26, 2023 and the record was last updated on October 26, 2023.

The authorized official for this organization is Sarah Pedrotti, Executive Director Student Advocacy.

Frequently asked questions

What is the NPI number of Transformation Waco?

The NPI number is 1376315929.

What is the phone number of Transformation Waco?

The phone number listed for the practice location is (254) 754-9169.

Where is Transformation Waco located?

3005 Edna Ave, Waco, TX 76708-1849.

What is the taxonomy code for Transformation Waco?

The primary taxonomy code is 261Q00000X – Clinic/Center; 7 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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