Provider Demographics
NPI:1437837002
Name:TRANSITION RECOVER AND PROSPER LLC.
Entity Type:Organization
Organization Name:TRANSITION RECOVER AND PROSPER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TYREE
Authorized Official - Middle Name:DEANA
Authorized Official - Last Name:TALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP A/C CSAC
Authorized Official - Phone:804-503-8454
Mailing Address - Street 1:122 N CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23075-1429
Mailing Address - Country:US
Mailing Address - Phone:804-503-8454
Mailing Address - Fax:
Practice Address - Street 1:122 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23075-1429
Practice Address - Country:US
Practice Address - Phone:804-503-8454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health