Provider Demographics
NPI:1447692082
Name:TRANSITIONS MEDIATION AND COUNSELING
Entity type:Organization
Organization Name:TRANSITIONS MEDIATION AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KLEINSCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:952-237-8391
Mailing Address - Street 1:301 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-4448
Mailing Address - Country:US
Mailing Address - Phone:952-237-8391
Mailing Address - Fax:
Practice Address - Street 1:301 N 6TH ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4448
Practice Address - Country:US
Practice Address - Phone:952-237-8391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2707251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health