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General NPI Number Information
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NPI Number | 1972019560
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Entity Type | Organization
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Legal Business Name | TRANSCENDING MINDS LLC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 3300 N TRIUMPH BLVD
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City | LEHI
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State | UT
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Zip | 84043-5023
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Country | US
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Telephone | 702-726-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 409 CHATEAU DR
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City | HENDERSON
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State | NV
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Zip | 89002-8345
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Country | US
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Telephone | 702-726-0637
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Fax |
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | ADRIENNE RANDALL
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Credential |
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Telephone | 702-726-0637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7074-C
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License Number State | NV
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