Provider Demographics
NPI:1902587744
Name:TRULY TRANSITIONS SERIES LLC
Entity Type:Organization
Organization Name:TRULY TRANSITIONS SERIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:YANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:737-251-5749
Mailing Address - Street 1:5900 BALCONES DR STE 13253
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:737-251-5749
Mailing Address - Fax:831-480-1828
Practice Address - Street 1:5900 BALCONES DR STE 13253
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:737-251-5749
Practice Address - Fax:831-480-1828
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRULY TRANSITIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty