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General NPI Number Information
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NPI Number | 1851023329
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Entity Type | Organization
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Legal Business Name | TRANSITIONS THRU LIFE, INC.
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 445 MAIN ST
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City | BENWOOD
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State | WV
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Zip | 26031-1105
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Country | US
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Telephone | 304-232-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 445 MAIN ST
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City | BENWOOD
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State | WV
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Zip | 26031-1105
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Country | US
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Telephone | 304-559-3199
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. CC (CELISE) RENEE ROXBY
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Credential | BSS, BSP
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Telephone | 304-559-3199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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