Organization Name: | TRANSITIONS, LLC |
NPI Number: | 1003219361 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL S LEACH (SOLE MEMBER) |
Mailing Address: | 2245 Illinois St Sidney |
State: | NE US |
Postal Code: | 691621440 |
Phone Number: | 3087786621 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |