Provider Demographics
NPI:1043931264
Name:TRANSCENDING MENTAL AND BEHAVIORAL HEALTH, PLLC
Entity Type:Organization
Organization Name:TRANSCENDING MENTAL AND BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLYNN
Authorized Official - Middle Name:MCNEIL
Authorized Official - Last Name:LACHAPELLE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:763-220-0617
Mailing Address - Street 1:9654 HARBOR LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-8548
Mailing Address - Country:US
Mailing Address - Phone:612-382-0431
Mailing Address - Fax:
Practice Address - Street 1:9654 HARBOR LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-8548
Practice Address - Country:US
Practice Address - Phone:763-220-0617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1305693710Medicaid