Provider Demographics
NPI:1356676472
Name:TRANSITIONS, LTD
Entity Type:Organization
Organization Name:TRANSITIONS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:612-379-8050
Mailing Address - Street 1:23 4TH ST SE
Mailing Address - Street 2:217
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-1090
Mailing Address - Country:US
Mailing Address - Phone:612-379-8050
Mailing Address - Fax:612-379-8069
Practice Address - Street 1:23 4TH ST SE
Practice Address - Street 2:217
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-1090
Practice Address - Country:US
Practice Address - Phone:612-379-8050
Practice Address - Fax:612-379-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2240103T00000X
MN3936103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty