Provider Demographics
NPI:1831544238
Name:TRANSITIONS THERAPY
Entity type:Organization
Organization Name:TRANSITIONS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISCENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:864-497-2882
Mailing Address - Street 1:175 MAGNOLIA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-2344
Mailing Address - Country:US
Mailing Address - Phone:864-497-2882
Mailing Address - Fax:864-587-4379
Practice Address - Street 1:502 MEADOWSWEET LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5521
Practice Address - Country:US
Practice Address - Phone:864-497-2882
Practice Address - Fax:864-587-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC3333Medicare UPIN