Provider Demographics
NPI:1972275436
Name:TRANSCEND COUNSELING LLC
Entity type:Organization
Organization Name:TRANSCEND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERADUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-302-1478
Mailing Address - Street 1:3600 OLENTANGY RIVER RD # D-102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3437
Mailing Address - Country:US
Mailing Address - Phone:614-302-1478
Mailing Address - Fax:614-633-2119
Practice Address - Street 1:3600 OLENTANGY RIVER RD # D-102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3437
Practice Address - Country:US
Practice Address - Phone:614-302-1478
Practice Address - Fax:614-633-2119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty