# ISLAND TRANSITIONS COUNSELING AND CONSULTING, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396317145
- **Authorized official:** MS. KATHRYN ELAINE ROOSEVELT LISW-CP (OWNER/CLINICIAN)
- **Authorized official phone:** (618) 559-1124

## Contact information

- **Practice address:** 3226 MAYBANK HWY UNIT A, JOHNS ISLAND, SC 29455-4858
- **Practice address phone:** (618) 559-1124
- **Mailing address:** 3226 MAYBANK HWY UNIT A, JOHNS ISLAND, SC 29455-4858
- **Mailing address phone:** (618) 559-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 07/12/2021