Healthcare Provider Details

I. General information

NPI: 1710772314
Provider Name (Legal Business Name): TRANSITIONS THERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N 1680 E STE W2
ST GEORGE UT
84790-2609
US

IV. Provider business mailing address

558 S AERIES DR
WASHINGTON UT
84780-3568
US

V. Phone/Fax

Practice location:
  • Phone: 435-227-5052
  • Fax: 435-215-4514
Mailing address:
  • Phone: 435-227-5052
  • Fax: 435-215-4514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: GLEN PORTER
Title or Position: THERAPIST
Credential: CMHC
Phone: 435-227-5052