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General NPI Number Information
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NPI Number | 1104209162
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Entity Type | Organization
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Legal Business Name | TRANSITION FAMILY SERVICES LLC
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 16000 PROVIDENCE DR STE. 100
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-499-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 24000 MORTON ST
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City | OAK PARK
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State | MI
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Zip | 48237-2185
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Country | US
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Telephone | 248-499-4312
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | TAMIKA MARIE REEVES
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Credential | LLPC
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Telephone | 248-499-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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