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Organization
TRANSITIONS COUNSELING, INC.
Active
Organization
TRANSITIONS COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI STAR FOX LCSW, LADC, CCS (CEO/PRESIDENT)
(207) 773-8886
Entity
Organization
Contact information
Practice address
583 FOREST AVE, PORTLAND, ME 04101-1547
(207) 773-8886
(207) 773-8887
Mailing address
583 FOREST AVE, PORTLAND, ME 04101-1547
(207) 773-8886
(207) 773-8887
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
411170
ME
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
246645
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132060000
—
ME
05
—
132060100
—
ME
05
—
132060101
—
ME
01
—
1952360760
PACIFIC CARE
ME
Enumeration date
03/21/2006
Last updated
12/01/2008
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