Provider Demographics
NPI:1548317134
Name:TRANSITIONS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:TRANSITIONS COUNSELING SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLANN
Authorized Official - Middle Name:J
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-493-1467
Mailing Address - Street 1:PO BOX 1298
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-9298
Mailing Address - Country:US
Mailing Address - Phone:509-493-1467
Mailing Address - Fax:509-493-3765
Practice Address - Street 1:2101 MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-2621
Practice Address - Country:US
Practice Address - Phone:541-524-0800
Practice Address - Fax:509-493-3765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL2571104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR278888OtherMANAGED HEALTH NETWORK
OR808073000OtherREGENCE BCBS
ORYA60301OtherPACIFIC SOURCE
OR808073000OtherREGENCE BCBS