Provider Demographics
NPI:1831677087
Name:ACTIVE TRANSITIONS LLC
Entity Type:Organization
Organization Name:ACTIVE TRANSITIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:STEELE
Authorized Official - Last Name:CRENSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-835-9052
Mailing Address - Street 1:8825 PARKWAY E
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35206-1504
Mailing Address - Country:US
Mailing Address - Phone:205-835-9052
Mailing Address - Fax:
Practice Address - Street 1:1901 RICHARD ARRINGTON JR BLVD S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1270
Practice Address - Country:US
Practice Address - Phone:205-835-9052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL2945251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALAL2945OtherMENTAL HEALTH