Provider Demographics
NPI:1255644068
Name:TRANSITIONS THERAPEUTIC SERVICES OF NORTH TEXAS, PLLC
Entity type:Organization
Organization Name:TRANSITIONS THERAPEUTIC SERVICES OF NORTH TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIOUX
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:214-843-4525
Mailing Address - Street 1:4009 OLD DENTON RD STE 114-115
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1000
Mailing Address - Country:US
Mailing Address - Phone:214-843-4525
Mailing Address - Fax:
Practice Address - Street 1:4009 OLD DENTON RD STE 114-115
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1000
Practice Address - Country:US
Practice Address - Phone:214-843-4525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64853251S00000X
TX201256251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health