Provider Demographics
NPI:1790913523
Name:TRANSITIONS, INC.
Entity Type:Organization
Organization Name:TRANSITIONS, INC.
Other - Org Name:TRANSITIONS FAMILY COUNSELING & MEDIATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROF. COUNSELOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:RISSER-HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:307-682-8617
Mailing Address - Street 1:801 E 4TH ST
Mailing Address - Street 2:SUITE 18
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4061
Mailing Address - Country:US
Mailing Address - Phone:307-682-8617
Mailing Address - Fax:307-682-8602
Practice Address - Street 1:801 E 4TH ST
Practice Address - Street 2:SUITE 18
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-4061
Practice Address - Country:US
Practice Address - Phone:307-682-8617
Practice Address - Fax:307-682-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLAT 157101YA0400X
WYLPC 729101YP2500X
WYLCSW 0111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1609940329OtherNATIONAL PROVIDER IDENTIFIER
WY1487728101OtherNATIONAL PROVIDER IDENTIFIER