Healthcare Provider Details
I. General information
NPI: 1326526641
Provider Name (Legal Business Name): TRANSCEND MIND-BODY WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2018
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
409 WASHINGTON ST STE D
CEDAR FALLS IA
50613
US
IV. Provider business mailing address
409 WASHINGTON ST STE D
CEDAR FALLS IA
50613-2812
US
V. Phone/Fax
- Phone: 319-553-6919
- Fax:
- Phone: 319-553-6919
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRADY
JOHN
HULS
Title or Position: CFO
Credential:
Phone: 712-269-1505