Provider Demographics
NPI:1598499808
Name:TRANSITIONS COUNSELING AND WELLNESS LLC
Entity Type:Organization
Organization Name:TRANSITIONS COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAIREN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:LEVERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-212-3482
Mailing Address - Street 1:8425 DORSEY CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4595
Mailing Address - Country:US
Mailing Address - Phone:571-212-3482
Mailing Address - Fax:
Practice Address - Street 1:8425 DORSEY CIR STE 102
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4595
Practice Address - Country:US
Practice Address - Phone:571-212-3482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center