Healthcare Provider Details

I. General information

NPI: 1699088245
Provider Name (Legal Business Name): TRANSTEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S ANAHEIM HILLS RD SUITE 202
ANAHEIM CA
92807-4780
US

IV. Provider business mailing address

500 S ANAHEIM HILLS RD SUITE 202
ANAHEIM CA
92807-4780
US

V. Phone/Fax

Practice location:
  • Phone: 714-301-8880
  • Fax: 714-282-2231
Mailing address:
  • Phone: 714-301-8880
  • Fax: 714-282-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC37998
License Number StateCA

VIII. Authorized Official

Name: JUDY LYNN SPEAK
Title or Position: PRESIDENT
Credential: RN, MFT
Phone: 714-301-8880