Healthcare Provider Details

I. General information

NPI: 1124525886
Provider Name (Legal Business Name): FAMILIES IN TRANSITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 WILSON ST
MANCHESTER NH
03103-5008
US

IV. Provider business mailing address

122 MARKET ST
MANCHESTER NH
03101-1952
US

V. Phone/Fax

Practice location:
  • Phone: 603-641-9441
  • Fax: 603-935-8270
Mailing address:
  • Phone: 603-641-9441
  • Fax: 603-641-1244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNH
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA DEVLIN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 603-641-9441