1619294311 NPI number — TRANSCEND COUNSELING SERVICES PLLC

Table of content: JACQUELINE D JORDAN CO (NPI 1326076522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619294311 NPI number — TRANSCEND COUNSELING SERVICES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSCEND COUNSELING SERVICES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619294311
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
218 LARRY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUNCANVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75137-4020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-317-1426
Provider Business Mailing Address Fax Number:
214-432-7640

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
515 N CEDAR RIDGE DR
Provider Second Line Business Practice Location Address:
SUITE 7-E
Provider Business Practice Location Address City Name:
DUNCANVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75116-3103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-317-1426
Provider Business Practice Location Address Fax Number:
214-432-7640
Provider Enumeration Date:
04/21/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MANNING
Authorized Official First Name:
OSCAR
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
215-317-1426

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  18776 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com