Healthcare Provider Details
I. General information
NPI: 1427673490
Provider Name (Legal Business Name): TRANSCEND THROUGH TRUTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2020
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7477 W LAKE MEAD BLVD STE 260
LAS VEGAS NV
89128-1027
US
IV. Provider business mailing address
7477 W LAKE MEAD BLVD STE 260
LAS VEGAS NV
89128-1027
US
V. Phone/Fax
- Phone: 702-344-0466
- Fax:
- Phone: 702-344-0466
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALISA
A
JONES
Title or Position: CO-FOUNDER
Credential: LCSW
Phone: 702-541-3670