Provider Demographics
NPI:1003219361
Name:TRANSITIONS, LLC
Entity Type:Organization
Organization Name:TRANSITIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-778-6621
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:LEWELLEN
Mailing Address - State:NE
Mailing Address - Zip Code:69147-0265
Mailing Address - Country:US
Mailing Address - Phone:308-778-6621
Mailing Address - Fax:308-254-1110
Practice Address - Street 1:2245 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1440
Practice Address - Country:US
Practice Address - Phone:308-778-6621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty