Provider Demographics
NPI:1205597432
Name:FOUREIGHT TRANSITIONS
Entity type:Organization
Organization Name:FOUREIGHT TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVASH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-843-4848
Mailing Address - Street 1:180 LITHIA WAY STE 204
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1891
Mailing Address - Country:US
Mailing Address - Phone:541-843-4848
Mailing Address - Fax:
Practice Address - Street 1:180 LITHIA WAY STE 204
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1891
Practice Address - Country:US
Practice Address - Phone:541-843-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty