Organization
TRANSCENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L MILLER M.S., LPC, LADC (OWNER/CEO)
(918) 915-0084
Entity
Organization
Contact information
Practice address
135 E CANADIAN AVE, VINITA, OK 74301-3713
(918) 915-0084
Mailing address
28686 S 4340 RD, VINITA, OK 74301-7708
(918) 915-0084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
649
OK
101YP2500X
Professional Counselor
Primary
4354
OK
251B00000X
Case Management Agency
12186
OK
251S00000X
Community/Behavioral Health Agency
4773
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332290A
—
OK
Enumeration date
05/02/2011
Last updated
10/28/2013
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