Provider Demographics
NPI:1073005377
Name:TRANSITIONS LIFE SKILLS, LLC
Entity Type:Organization
Organization Name:TRANSITIONS LIFE SKILLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:337-292-0032
Mailing Address - Street 1:2017 BANCROFT ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-2009
Mailing Address - Country:US
Mailing Address - Phone:337-292-0032
Mailing Address - Fax:
Practice Address - Street 1:2017 BANCROFT ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-2009
Practice Address - Country:US
Practice Address - Phone:337-292-0032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)