Provider Demographics
NPI: | 1295998607 |
---|---|
Name: | TRANSITIONS BEHAVIORAL HEALTHCARE |
Entity type: | Organization |
Organization Name: | TRANSITIONS BEHAVIORAL HEALTHCARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | ASHLEY |
Authorized Official - Last Name: | BLEAU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 252-414-1347 |
Mailing Address - Street 1: | 1310 E ARLINGTON BLVD |
Mailing Address - Street 2: | SUITE A |
Mailing Address - City: | GREENVILLE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27858-5868 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 252-321-6306 |
Mailing Address - Fax: | 252-355-3689 |
Practice Address - Street 1: | 1310 E ARLINGTON BLVD |
Practice Address - Street 2: | SUITE A |
Practice Address - City: | GREENVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27858-5868 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-321-6306 |
Practice Address - Fax: | 252-355-3689 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-07-07 |
Last Update Date: | 2009-04-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |