MEDICARE: TRANSCEND MIND-BODY WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1326526641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCEND MIND-BODY WELLNESS, LLC

Provider Business Mailing Address
First Line	:	409 WASHINGTON ST STE D
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-2812
Country	:	US
Telephone Number	:	319-553-6919
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 WASHINGTON ST STE D
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613
Country	:	US
Telephone Number	:	319-553-6919
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BRADY JOHN HULS
Credential	:
Telephone Number	:	712-269-1505

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	02/12/2026

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