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TRANSITIONAL LIVING SERVICES INC NPI 1457395212


NPI Information

NPI: 1457395212
Provider Name: TRANSITIONAL LIVING SERVICES, INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
3710 DOUGLAS AVE
RACINE, WI
ZIP 53402
Phone: (262) 639-8084
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TRANSITIONAL LIVING SERVICES, INC is a psychiatry psychiatry neurology in Racine, WI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. TRANSITIONAL LIVING SERVICES, INC NPI is 1457395212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3710 DOUGLAS AVE
RACINE, WI
ZIP 53402-227
Phone: (262) 639-8084
Fax: (262) 639-8086

The provider's authorized official is Robert E Wrenn .
The authorized official title is President And Ceo and has the following contact phone number (414) 476-9631.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
62084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD9253OTHERWISCONSINRAILROAD MEDICARE PART B
242219500MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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