Provider Demographics
NPI:1588022180
Name:LIFE TRANSITIONS
Entity Type:Organization
Organization Name:LIFE TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HUNT MOST
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LPC
Authorized Official - Phone:308-746-4781
Mailing Address - Street 1:914 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-2060
Mailing Address - Country:US
Mailing Address - Phone:308-746-4781
Mailing Address - Fax:888-519-4014
Practice Address - Street 1:914 AVENUE F
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-2060
Practice Address - Country:US
Practice Address - Phone:308-746-4781
Practice Address - Fax:888-519-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026351206Medicaid
NE10026351205Medicaid
NE10026351207Medicaid
NE10026351204Medicaid
NE10026351205Medicaid