Provider Demographics
NPI:1104209162
Name:TRANSITION FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:TRANSITION FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:248-499-4312
Mailing Address - Street 1:24000 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2185
Mailing Address - Country:US
Mailing Address - Phone:248-499-4312
Mailing Address - Fax:
Practice Address - Street 1:16000 PROVIDENCE DR
Practice Address - Street 2:STE. 100
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-499-4312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)