Provider Demographics
NPI:1659024255
Name:VITAL TRANSITIONS BEHAVIORAL HEALTHCARE INC.
Entity type:Organization
Organization Name:VITAL TRANSITIONS BEHAVIORAL HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTWANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-412-7912
Mailing Address - Street 1:11745 HAYMARKET AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6010
Mailing Address - Country:US
Mailing Address - Phone:225-412-7912
Mailing Address - Fax:225-412-7915
Practice Address - Street 1:11745 HAYMARKET AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6010
Practice Address - Country:US
Practice Address - Phone:225-412-7912
Practice Address - Fax:225-412-7915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VITAL TRANSITIONS BEHAVIORAL HEALTHCARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-02
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty