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General NPI Number Information
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NPI Number | 1457110215
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Entity Type | Organization
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Legal Business Name | TRANSITIONS TOO
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 953 E SAHARA AVE STE B13
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City | LAS VEGAS
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State | NV
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Zip | 89104-3012
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Country | US
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Telephone | 702-268-7237
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Fax | 702-462-2599
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Provider Business Mailing Address
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Address Line | 953 E SAHARA AVE STE B13
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City | LAS VEGAS
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State | NV
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Zip | 89104-3012
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Country | US
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Telephone | 702-268-7237
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Fax | 702-462-2599
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | MRS. LISA FURR
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Credential |
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Telephone | 702-268-7237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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