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NPI Code Detail

MEDICARE: THERAPEUTIC TRANSITIONS & ASSOCIATES, LLC

MEDICARE: THERAPEUTIC TRANSITIONS & ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1205502754
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC TRANSITIONS & ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 201 E DEBBIE LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2924
Country : US
Telephone Number : 817-914-3251
Fax Number :
Provider Business Practice Location Address
First Line : 201 E DEBBIE LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2924
Country : US
Telephone Number : 817-914-3251
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AQUEELAH R COLLIER
Credential : LCSW-S
Telephone Number : 817-914-3251
Provider Enumeration Date : 08/16/2021
Last Update Date : 03/30/2026

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Directions to “THERAPEUTIC TRANSITIONS & ASSOCIATES, LLC ” Practice Location

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