Transform Your Health

Transitions Healthcare brings together experienced providers and a patient-centered philosophy to deliver thoughtful care for hormone balance, mental health, and overall wellbeing.

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Behind Our Practice

Behind every treatment plan at Transitions Healthcare is a team of experienced providers who are dedicated to thoughtful, patient-centered care. Our nurse practitioner and licensed therapists bring years of clinical experience and a shared commitment to supporting patients through every stage of their health journey.

Each member of our team works collaboratively with patients to understand their needs, develop personalized treatment plans, and provide care that is both compassionate and evidence-based. We believe strong provider–patient relationships are the foundation of meaningful, lasting health outcomes.

Who We Are

Transitions Healthcare was founded with a simple goal: to provide thoughtful, patient-centered healthcare in a supportive and collaborative environment. Our providers believe the best outcomes happen when patients and clinicians work together to create treatment plans that reflect each person’s goals, experiences, and health needs.

Serving the Mandan and Bismarck communities, our private practice provides hormone optimization, thyroid treatment and management, mental health counseling, medication management, and medical weight loss support. Our approach emphasizes personalized care designed to support both mental and physical wellbeing.

Our Goal

Health challenges can affect many areas of life. Whether someone is navigating mental health concerns, experiencing hormonal changes, or seeking support with weight management, our team is committed to providing care that is respectful, evidence-based, and tailored to the individual.

At Transitions Healthcare, our providers focus on helping patients build sustainable improvements in their health through education, collaboration, and personalized treatment planning.

What We Stand For

At Transitions Healthcare, we believe healthcare works best when it is built on trust, respect, and collaboration. Every patient’s experience is unique, which is why our providers take the time to listen, understand individual concerns, and develop care plans that reflect each person’s goals and needs.

Our approach focuses on thoughtful, evidence-based care that supports both mental and physical wellbeing. By combining clinical expertise with compassionate support, we help patients make informed decisions and take meaningful steps toward lasting health.

Our Providers

Our team brings years of clinical experience and a shared commitment to compassionate, patient-focused healthcare.

Stephanie Macdonald

Nurse Practitioner | APRN, MSN, NP-C

Stephanie Macdonald provides comprehensive healthcare management through her private practice at Transitions Healthcare, serving patients throughout North Dakota. She is passionate about delivering patient-centered care and emphasizes shared decision-making to ensure treatment plans align with each individual’s goals and values.

Stephanie earned her Bachelor of Science in Nursing from Medcenter One College of Nursing, a Bachelor of Science in Business Management from the University of Mary, and a Master of Science in Nursing from the University of Cincinnati. She is board-certified by the American Association of Nurse Practitioners and is a member of the North Dakota Nurse Practitioners Association.

She has been recognized for excellence in practice, receiving the Nurse Practitioner Rookie of the Year award for the western region of a local health system. Stephanie also served as an Advanced Practice Provider Mentor for the behavioral health clinic of a major healthcare organization.

Lori Charbonneau

Licensed Clinical Social Worker

Lori Charbonneau is a Licensed Clinical Social Worker with more than 20 years of clinical experience across a variety of treatment settings. She earned both her Bachelor’s and Master’s degrees in Social Work from the University of North Dakota.

Lori provides therapy for adults aged 21 and older using a person-centered and strengths-based approach. She draws from evidence-based practices including Cognitive Behavioral Therapy (CBT), Motivational Therapy, Solution-Focused Therapy, Client-Centered Therapy, and Grief Therapy.

Her clinical experience includes working with individuals experiencing anxiety, depression, trauma-related concerns, obsessive thoughts and compulsive behaviors, stress and anger management challenges, grief and loss, and adjustment difficulties. Lori works collaboratively with clients to identify goals, build resilience, and support meaningful progress.

Alissa Demke

Licensed Master Social Worker

Alissa Demke brings a compassionate perspective to her work as a therapist, shaped by her early career in emergency services and experience as a 911 dispatcher. These roles inspired her commitment to supporting individuals through challenging situations and led her to pursue a Master’s degree in Social Work from Florida State University.

Her clinical experience includes work in integrated family medicine, corrections, inpatient psychiatric care, and community mental health. Alissa works with individuals aged 13 and older as well as couples. She helps clients navigate concerns including trauma, anxiety, depression, eating disorders, grief and loss, and relationship challenges.

Alissa uses a client-centered, strengths-based approach and evidence-based techniques to support growth, resilience, and lasting change.

Join Our Team

Transitions Healthcare is always interested in connecting with talented healthcare professionals who are passionate about providing patient-centered care.

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Personalized mental health and hormonal services in Mandan and Bismarck, North Dakota.

Hours of Operation
Mon-Thurs: 8:30AM - 4:30PM

Closed: Friday-Sunday
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