Provider Demographics
NPI:1568923431
Name:TRANSITIONS AND CHANGE COUNSELING SERVICES
Entity Type:Organization
Organization Name:TRANSITIONS AND CHANGE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DROUILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:248-842-7646
Mailing Address - Street 1:1350 S MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4858
Mailing Address - Country:US
Mailing Address - Phone:248-842-7646
Mailing Address - Fax:248-928-2302
Practice Address - Street 1:1350 S MILFORD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4858
Practice Address - Country:US
Practice Address - Phone:248-842-7646
Practice Address - Fax:248-928-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty