Organization Name: | LIFE TRANSITIONS COUNSELING LLC |
NPI Number: | 1104173590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRISCILLA BASS (COUNSELOR) |
Mailing Address: | 7919 Big Bend Blvd Suite B Webster Groves |
State: | MO US |
Postal Code: | 63119 |
Phone Number: | 3145377747 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CS001120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |