Provider Demographics
NPI:1750922019
Name:TRANSCENDENT LIFESTYLES LLC
Entity type:Organization
Organization Name:TRANSCENDENT LIFESTYLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-432-2137
Mailing Address - Street 1:324 GARCIA DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4805
Mailing Address - Country:US
Mailing Address - Phone:973-900-2135
Mailing Address - Fax:
Practice Address - Street 1:900 COMMONWEALTH PL STE 217
Practice Address - Street 2:
Practice Address - City:VIRGINIA BCH
Practice Address - State:VA
Practice Address - Zip Code:23464-4529
Practice Address - Country:US
Practice Address - Phone:757-432-2137
Practice Address - Fax:757-500-8852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities