MEDICARE: TRANSCEND COUNSELING GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1275092611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCEND COUNSELING GROUP

Provider Business Mailing Address
First Line	:	4066 BEACH RD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222-3601
Country	:	US
Telephone Number	:	410-499-0440
Fax Number	:

Provider Business Practice Location Address
First Line	:	4066 BEACH RD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222-3601
Country	:	US
Telephone Number	:	410-499-0440
Fax Number	:

Authorized Official
Title or Position	:	BILLING AND CREDENTIALING MANAGER
Name	:	MARSHA HOLEVAS
Credential	:
Telephone Number	:	443-418-9957

Provider Enumeration Date	:	03/15/2019
Last Update Date	:	10/04/2021

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