Provider Demographics
NPI:1427879097
Name:TRANSITIONS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:TRANSITIONS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:RAYE
Authorized Official - Last Name:BOSEK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-MH, LAC
Authorized Official - Phone:218-213-7199
Mailing Address - Street 1:807 W. HWY 14 BYPASS
Mailing Address - Street 2:UNIT 17
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006
Mailing Address - Country:US
Mailing Address - Phone:218-213-7199
Mailing Address - Fax:
Practice Address - Street 1:807 W. HWY 14 BYPASS
Practice Address - Street 2:UNIT 17
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006
Practice Address - Country:US
Practice Address - Phone:218-213-7199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)