Provider Demographics
NPI:1063060770
Name:TRANSCEND THERAPY
Entity type:Organization
Organization Name:TRANSCEND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:AHRENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CEAP
Authorized Official - Phone:619-823-1382
Mailing Address - Street 1:4452 PARK BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-4039
Mailing Address - Country:US
Mailing Address - Phone:619-823-1382
Mailing Address - Fax:
Practice Address - Street 1:4452 PARK BLVD STE 204
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-4039
Practice Address - Country:US
Practice Address - Phone:619-823-1382
Practice Address - Fax:888-618-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty