Provider Demographics
| NPI: | 1063374908 |
|---|---|
| Name: | TRANSITIONS OF THE MIND MENTAL HEALTH LLC |
| Entity type: | Organization |
| Organization Name: | TRANSITIONS OF THE MIND MENTAL HEALTH LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JENNIFER |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MURRAY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | NP |
| Authorized Official - Phone: | 308-833-3389 |
| Mailing Address - Street 1: | 2424 S LOCUST ST STE C |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GRAND ISLAND |
| Mailing Address - State: | NE |
| Mailing Address - Zip Code: | 68801-8316 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2424 S LOCUST ST STE C |
| Practice Address - Street 2: | |
| Practice Address - City: | GRAND ISLAND |
| Practice Address - State: | NE |
| Practice Address - Zip Code: | 68801-8316 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 308-833-3389 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-12-01 |
| Last Update Date: | 2025-12-01 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |