Provider Demographics
NPI:1205138864
Name:SPECIAL TRANSITION WORKS , LLC
Entity type:Organization
Organization Name:SPECIAL TRANSITION WORKS , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NYMPHA
Authorized Official - Middle Name:JAMIE
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:800-331-8604
Mailing Address - Street 1:2100 RIVERSIDE PKWY STE 128-144
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5927
Mailing Address - Country:US
Mailing Address - Phone:786-541-6212
Mailing Address - Fax:
Practice Address - Street 1:11340 LAKEFIELD DR STE 200
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2456
Practice Address - Country:US
Practice Address - Phone:800-331-8604
Practice Address - Fax:800-331-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No347C00000XTransportation ServicesPrivate Vehicle