Healthcare Provider Details

I. General information

NPI: 1104762004
Provider Name (Legal Business Name): TRANSITION-READY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11017 STATE HIGHWAY U
MINERAL POINT MO
63660-9505
US

IV. Provider business mailing address

11017 STATE HIGHWAY U
MINERAL POINT MO
63660-9505
US

V. Phone/Fax

Practice location:
  • Phone: 636-266-1200
  • Fax:
Mailing address:
  • Phone: 636-266-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ALYSA MASSEY
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: SLP-CCC
Phone: 636-266-1200