MEDICARE: TRANSCENDENT CASE MANAGEMENT & CONSULTING, LLC

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
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1659834489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCENDENT CASE MANAGEMENT & CONSULTING, LLC

Provider Business Mailing Address
First Line	:	3005 ONTARIO ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-4249
Country	:	US
Telephone Number	:	614-832-4724
Fax Number	:	614-675-3349

Provider Business Practice Location Address
First Line	:	3587 MEDINA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3418
Country	:	US
Telephone Number	:	614-832-4724
Fax Number	:	614-675-3349

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARILYN FERRELL
Credential	:
Telephone Number	:	614-832-4724

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	04/09/2019

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