MEDICARE: TRANSITIONS THERAPEUTIC SERVICES 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
1	1041C0700X	Clinical Social Worker	0904007272	VA
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1548797202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONS THERAPEUTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	2117 SMITH AVE STE E
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2519
Country	:	US
Telephone Number	:	757-675-4075
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 GREENBRIER CIR
Second Line	:	32
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-2646
Country	:	US
Telephone Number	:	757-675-4075
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA TOYE
Credential	:	LCSW, CSAC
Telephone Number	:	757-332-8542

Provider Enumeration Date	:	05/12/2017
Last Update Date	:	05/13/2024

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