Provider Demographics
NPI:1003494527
Name:TRANSITIONS4LIFE, LLC
Entity Type:Organization
Organization Name:TRANSITIONS4LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKEEYA
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-279-1208
Mailing Address - Street 1:116 W 9TH ST APT 431
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801
Mailing Address - Country:US
Mailing Address - Phone:215-279-1208
Mailing Address - Fax:
Practice Address - Street 1:116 W 9TH ST APT 431
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801
Practice Address - Country:US
Practice Address - Phone:215-279-1208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health