Provider Demographics
NPI:1598649782
Name:RADICAL TRANSFORMATION INC
Entity type:Organization
Organization Name:RADICAL TRANSFORMATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:424-235-0566
Mailing Address - Street 1:1220 OAK STREET
Mailing Address - Street 2:SUITE J #1060
Mailing Address - City:MOBILE
Mailing Address - State:CA
Mailing Address - Zip Code:93304
Mailing Address - Country:US
Mailing Address - Phone:424-235-0566
Mailing Address - Fax:
Practice Address - Street 1:1220 OAK STREET
Practice Address - Street 2:SUITE J #1060
Practice Address - City:MOBILE
Practice Address - State:CA
Practice Address - Zip Code:93304
Practice Address - Country:US
Practice Address - Phone:424-235-0566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty