Provider Demographics
NPI:1376983726
Name:TRANS FOR ME TIONS LLC
Entity Type:Organization
Organization Name:TRANS FOR ME TIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-218-7285
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06601-0391
Mailing Address - Country:US
Mailing Address - Phone:203-218-7285
Mailing Address - Fax:
Practice Address - Street 1:4270 MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-2306
Practice Address - Country:US
Practice Address - Phone:203-218-7285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty