Provider Demographics
NPI:1194177717
Name:TRANSITIONS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:TRANSITIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:636-390-4422
Mailing Address - Street 1:1190 JEFFERSON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4443
Mailing Address - Country:US
Mailing Address - Phone:636-390-4422
Mailing Address - Fax:636-390-4449
Practice Address - Street 1:1190 JEFFERSON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4443
Practice Address - Country:US
Practice Address - Phone:636-390-4422
Practice Address - Fax:636-390-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001576991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1659676567Medicaid