PROGRESSIVE TRANSITION SERVICES CORPORATION NPI 1417425471

NPI Information

NPI: 1417425471
Provider Name: PROGRESSIVE TRANSITION SERVICES CORPORATION
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
333 S 9TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 988-4972
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PROGRESSIVE TRANSITION SERVICES CORPORATION is a professional counselor in Griffin, GA. PROGRESSIVE TRANSITION SERVICES CORPORATION NPI is 1417425471. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

333 S 9TH ST
GRIFFIN, GA
ZIP 30224-111
Phone: (770) 988-4972
Fax: (678) 868-1248

The provider's authorized official is Trenisha Jones Mccall .
The authorized official title is Ceo and has the following contact phone number (678) 665-1814.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 11/7/2018.

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
1	101YP2500X	Counselor	Professional			Yes

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
1	003209316A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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