Provider Demographics
NPI:1760119663
Name:TRANSITIONS COUNSELING
Entity Type:Organization
Organization Name:TRANSITIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T KAEL
Authorized Official - Last Name:FRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:608-234-8763
Mailing Address - Street 1:415 N HIGGINS AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4561
Mailing Address - Country:US
Mailing Address - Phone:608-234-8763
Mailing Address - Fax:
Practice Address - Street 1:415 N HIGGINS AVE STE 120
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4561
Practice Address - Country:US
Practice Address - Phone:608-234-8763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty