Provider Demographics
NPI:1174879142
Name:TRANZITIONZ COUNSELING & CONSULTING SERVICES
Entity type:Organization
Organization Name:TRANZITIONZ COUNSELING & CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SADIE
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:JARVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LPCS
Authorized Official - Phone:803-290-6806
Mailing Address - Street 1:P O BOX 34
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:SC
Mailing Address - Zip Code:29039
Mailing Address - Country:US
Mailing Address - Phone:803-837-3426
Mailing Address - Fax:
Practice Address - Street 1:851 HORGER STREET
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115
Practice Address - Country:US
Practice Address - Phone:803-837-3426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health