Transitional Lifestyles Community, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

250346 Issued in MI

Legal business name

TRANSITIONAL LIFESTYLES COMMUNITY, INC

Practice address

115 W 5TH Ave
Suite 1
Flint, MI 48503-2472

Phone

(810) 908-7320

Fax

(810) 877-6453

NPI assigned

Oct 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Ann Brooks, LMSW, ACSW,CAAC,QSAPNPI 1720184930

Title

Director

Phone

(810) 908-7320

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Ann Brooks, LCSW, ACSW,CAAS,QSAP

  • Clinical Social Worker
  • Flint, MI
  • NPI 1720184930
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1790873347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310365",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485310365",
            "telephone_number": "810-908-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 5TH AVE",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032472",
            "telephone_number": "810-908-7320",
            "fax_number": "810-877-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIFESTYLES COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-908-7320",
        "authorized_official_credential": "LMSW, ACSW,CAAC,QSAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082709",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "250346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tranquility House LLC (Tranquility House AFC)
• Transition House Inc
• Traveling Hands LLC
• Lauren Travis
• Michael Trepeck
• Kristen Trevarrow
• Macy Trevillian, PTA

• Substance Abuse Rehabilitation Facility in Flint, MI
• Providers in Flint, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.