Provider Demographics
NPI:1841344462
Name:THE TRANSITION & LOSS CENTER, INC.
Entity type:Organization
Organization Name:THE TRANSITION & LOSS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:K
Authorized Official - Last Name:ACKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW-C,LICSW
Authorized Official - Phone:301-257-4852
Mailing Address - Street 1:14705 MOCKINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:DARNESTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3341
Mailing Address - Country:US
Mailing Address - Phone:301-963-0763
Mailing Address - Fax:
Practice Address - Street 1:4400 E WEST HWY STE 720
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4509
Practice Address - Country:US
Practice Address - Phone:301-257-4852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC00302894101YM0800X
MDMD09248101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCGO 2227Medicare ID - Type UnspecifiedPROVIDER