Provider Demographics
NPI:1457815250
Name:TRANSITIONS COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:TRANSITIONS COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:937-271-3645
Mailing Address - Street 1:475 ARLINGTON RD STE C
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309-1110
Mailing Address - Country:US
Mailing Address - Phone:937-271-3645
Mailing Address - Fax:855-804-6280
Practice Address - Street 1:475 ARLINGTON RD STE C
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:OH
Practice Address - Zip Code:45309-1110
Practice Address - Country:US
Practice Address - Phone:937-271-3645
Practice Address - Fax:855-804-6280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)