Healthcare Provider Details
I. General information
NPI: 1881519767
Provider Name (Legal Business Name): TRANSCENDENT CONSCIOUSNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3007 WEST LA SALLE STREET
PHOENIX AZ
85041-3402
US
IV. Provider business mailing address
1317 EDGEWATER DR STE 5788
ORLANDO FL
32804-6350
US
V. Phone/Fax
- Phone: 954-787-0244
- Fax:
- Phone: 954-787-0244
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BIANCA
CHERY
Title or Position: MANAGING MEMBER
Credential: PHD, LMHC, LPC
Phone: 954-787-0244