Provider Demographics
NPI:1821751637
Name:TRANSITIONS THE PROCESS OF CHANGE CORPORATION II
Entity Type:Organization
Organization Name:TRANSITIONS THE PROCESS OF CHANGE CORPORATION II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:ROSATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-862-3762
Mailing Address - Street 1:2215 PLANK RD # 328
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5226
Mailing Address - Country:US
Mailing Address - Phone:703-862-3762
Mailing Address - Fax:
Practice Address - Street 1:2124 JEFFERSON DAVIS HWY STE 104
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7264
Practice Address - Country:US
Practice Address - Phone:703-862-3762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty