Provider Demographics
NPI:1447541032
Name:TRANSITIONS & NEW BEGINNINGS
Entity type:Organization
Organization Name:TRANSITIONS & NEW BEGINNINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYYAHHNNA
Authorized Official - Middle Name:SATONYA
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS
Authorized Official - Phone:985-857-7636
Mailing Address - Street 1:6613 W PARK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-2400
Mailing Address - Country:US
Mailing Address - Phone:985-857-7636
Mailing Address - Fax:985-857-7638
Practice Address - Street 1:6613 W PARK AVE STE 2
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-2400
Practice Address - Country:US
Practice Address - Phone:985-857-7636
Practice Address - Fax:985-857-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2175092Medicaid