Provider Demographics
NPI:1134357783
Name:TRANSITIONS, INC.
Entity type:Organization
Organization Name:TRANSITIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:307-265-2555
Mailing Address - Street 1:336 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-2909
Mailing Address - Country:US
Mailing Address - Phone:307-265-2555
Mailing Address - Fax:307-237-1259
Practice Address - Street 1:336 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2909
Practice Address - Country:US
Practice Address - Phone:307-265-2555
Practice Address - Fax:307-237-1259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLAT 157101YA0400X
WYLPC 801101YP2500X
WYLCSW 0111041C0700X
WYLCSW 5351041C0700X
WYLPC 729101YP2500X
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
WY1043384662OtherNATIONAL PROVIDER IDENTIFIER
WY1427185107OtherNATIONAL PROVIDER IDENTIFIER
WY1487728101OtherNATIONAL PROVIDER IDENTIFIER
WY1609940329OtherNATIONAL PROVIDER IDENTIFIER