Provider Demographics
NPI:1861649295
Name:TRANSITIONAL LIFE COUNSELING AND COUNSULTATION
Entity Type:Organization
Organization Name:TRANSITIONAL LIFE COUNSELING AND COUNSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEMPSEY
Authorized Official - Middle Name:DERELL
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:409-359-3188
Mailing Address - Street 1:2626 S LOOP W STE 650E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-5628
Mailing Address - Country:US
Mailing Address - Phone:409-359-3355
Mailing Address - Fax:713-456-2381
Practice Address - Street 1:2626 S LOOP W STE 650E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5628
Practice Address - Country:US
Practice Address - Phone:409-359-3188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59803101YM0800X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty