Organization
TRANSITIONS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WAYNE MARTIN LCSW, LMFT,LPC,CADC (DIRECTOR/OWNER)
(715) 365-6696
Entity
Organization
Contact information
Practice address
22 N PELHAM ST, RHINELANDER, WI 54501-3148
(715) 365-6696
(715) 365-6768
Mailing address
PO BOX 622, RHINELANDER, WI 54501-0622
(715) 365-6696
(715) 365-6768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4249-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42244000
—
WI
Enumeration date
07/03/2006
Last updated
08/22/2020
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