| Transcendence Behavioral Health | |
|
901 Livernois St Ferndale MI 48220-2319 | |
| (248) 259-1991 | |
| (248) 286-6062 |
| Full Name | Transcendence Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 901 Livernois St, Ferndale, Michigan |
| Authorized Official Name and Position | Stephanie P Williams (OWNER) |
| Authorized Official Contact | 2482591991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcendence Behavioral Health 901 Livernois St Ferndale MI 48220-2319 Ph: (248) 259-1991 | Transcendence Behavioral Health 901 Livernois St Ferndale MI 48220-2319 Ph: (248) 259-1991 |
| NPI Number | 1740512979 |
|---|---|
| Provider Enumeration Date | 02/14/2010 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 8527191535 |
|---|---|
| Medicare Enrollment ID | O20100728000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740512979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952569410 PECOS PAC ID: 8123194479 Enrollment ID: I20080910000302 |
| Provider Name | Stephanie P Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306886270 PECOS PAC ID: 3678606688 Enrollment ID: I20101020000571 |
| Provider Name | Tena Payton-vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700371085 PECOS PAC ID: 4880016039 Enrollment ID: I20200617001848 |
| Provider Name | Dellkawaa Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508317538 PECOS PAC ID: 1052780483 Enrollment ID: I20221207001521 |
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