Organization
TRANSITIONS IN LYFE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE JOHNSON (OWNER)
(843) 260-4904
Entity
Organization
Contact information
Practice address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(843) 260-4904
Mailing address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(843) 260-4904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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