Provider Demographics
NPI:1710772314
Name:TRANSITIONS THERAPY ASSOCIATES
Entity type:Organization
Organization Name:TRANSITIONS THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:435-227-5052
Mailing Address - Street 1:558 S AERIES DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-3568
Mailing Address - Country:US
Mailing Address - Phone:801-499-9435
Mailing Address - Fax:435-215-4514
Practice Address - Street 1:85 N 300 W STE C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-3563
Practice Address - Country:US
Practice Address - Phone:435-227-5052
Practice Address - Fax:435-215-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty