Healthcare Provider Details

I. General information

NPI: 1063060770
Provider Name (Legal Business Name): TRANSCEND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 PARK BLVD STE 204
SAN DIEGO CA
92116-4039
US

IV. Provider business mailing address

4452 PARK BLVD STE 204
SAN DIEGO CA
92116-4039
US

V. Phone/Fax

Practice location:
  • Phone: 619-823-1382
  • Fax: 888-618-3258
Mailing address:
  • Phone: 619-823-1382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARIA CECILIA AHRENS
Title or Position: CEO
Credential: LCSW, CEAP
Phone: 619-823-1382