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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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