Healthcare Provider Details

I. General information

NPI: 1205450772
Provider Name (Legal Business Name): TRANSCEND MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 CHEYENNE BLVD # 300
COLORADO SPRINGS CO
80905-2423
US

IV. Provider business mailing address

730 CHEYENNE BLVD # 300
COLORADO SPRINGS CO
80905-2423
US

V. Phone/Fax

Practice location:
  • Phone: 719-271-6486
  • Fax:
Mailing address:
  • Phone: 719-271-6486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAJANI KOLLIKARA
Title or Position: PROPRIETOR
Credential: PMHNP
Phone: 719-271-6486