Provider Demographics
NPI:1932964079
Name:TRANSITIONAL CHARACTERS
Entity Type:Organization
Organization Name:TRANSITIONAL CHARACTERS
Other - Org Name:ADOPTING IDENTITY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:MARTINA
Authorized Official - Last Name:MANEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-460-9482
Mailing Address - Street 1:1830 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2350
Mailing Address - Country:US
Mailing Address - Phone:310-460-9482
Mailing Address - Fax:
Practice Address - Street 1:1830 MONROE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-2350
Practice Address - Country:US
Practice Address - Phone:310-460-9482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty