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NPI 1427769736

NPI 1427769736 : TRANSITION WITH OPPORTUNITIES LLC : STATESBORO, GA

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General NPI Number Information
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    NPI Number           |    1427769736
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSITION WITH OPPORTUNITIES LLC 
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Dates
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    Enumeration Date     |    12/07/2022
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    Last Update Date     |    12/09/2022
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Provider Practice Location Address
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    Address Line         |    515 DENMARK ST 
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    City                 |    STATESBORO
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    State                |    GA
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    Zip                  |    30458-5287
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    Country              |    US
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    Telephone            |    843-949-7085
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 BLUE MOON XING STE 3 
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    City                 |    POOLER
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    State                |    GA
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    Zip                  |    31322-9798
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    Country              |    US
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    Telephone            |    843-949-7085
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |     LISA  HIGGINS 
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    Credential           |    
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    Telephone            |    843-949-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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