Provider Demographics
NPI:1801765581
Name:TRANSCEND MIND-BODY WELLNESS, LLC
Entity type:Organization
Organization Name:TRANSCEND MIND-BODY WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRADY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-269-1505
Mailing Address - Street 1:409 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2812
Mailing Address - Country:US
Mailing Address - Phone:319-464-2201
Mailing Address - Fax:
Practice Address - Street 1:310 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2345
Practice Address - Country:US
Practice Address - Phone:319-464-2201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSCEND MIND-BODY WELLNESS & FLOATATION CLINIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty