Provider Demographics
| NPI: | 1295998607 |
|---|---|
| Name: | TRANSITIONS BEHAVIORAL HEALTHCARE |
| Entity type: | Organization |
| Organization Name: | TRANSITIONS BEHAVIORAL HEALTHCARE |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | PAUL |
| Authorized Official - Middle Name: | ASHLEY |
| Authorized Official - Last Name: | BLEAU |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 252-414-1347 |
| Mailing Address - Street 1: | 1310 E ARLINGTON BLVD |
| Mailing Address - Street 2: | SUITE A |
| Mailing Address - City: | GREENVILLE |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 27858-5868 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 252-321-6306 |
| Mailing Address - Fax: | 252-355-3689 |
| Practice Address - Street 1: | 1310 E ARLINGTON BLVD |
| Practice Address - Street 2: | SUITE A |
| Practice Address - City: | GREENVILLE |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27858-5868 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 252-321-6306 |
| Practice Address - Fax: | 252-355-3689 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-07-07 |
| Last Update Date: | 2009-04-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |