Healthcare Provider Details

I. General information

NPI: 1659834489
Provider Name (Legal Business Name): TRANSCENDENT CASE MANAGEMENT & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3587 MEDINA AVE
COLUMBUS OH
43224-3418
US

IV. Provider business mailing address

3005 ONTARIO ST
COLUMBUS OH
43224-4249
US

V. Phone/Fax

Practice location:
  • Phone: 614-832-4724
  • Fax: 614-675-3349
Mailing address:
  • Phone: 614-832-4724
  • Fax: 614-675-3349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARILYN FERRELL
Title or Position: OWNER
Credential:
Phone: 614-832-4724