Provider Demographics
NPI:1205450772
Name:TRANSCEND MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:TRANSCEND MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLLIKARA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:719-271-6486
Mailing Address - Street 1:730 CHEYENNE BLVD # 300
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-2423
Mailing Address - Country:US
Mailing Address - Phone:719-271-6486
Mailing Address - Fax:
Practice Address - Street 1:730 CHEYENNE BLVD # 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-2423
Practice Address - Country:US
Practice Address - Phone:719-271-6486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health