Provider Demographics
NPI:1548714629
Name:TRANSCENDENT YOU LLC
Entity type:Organization
Organization Name:TRANSCENDENT YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/MEMBER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-798-9963
Mailing Address - Street 1:10107 AUTUMN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-9375
Mailing Address - Country:US
Mailing Address - Phone:318-798-9963
Mailing Address - Fax:
Practice Address - Street 1:10107 AUTUMN OAKS LN
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-9375
Practice Address - Country:US
Practice Address - Phone:318-798-9963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6012251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare