Basic Information
| Provider Information | |||||||||
| NPI: | 1154942860 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ASCENDANT COUNSELING CENTER INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2518 ANTHEM VILLAGE DR STE 103 | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890525554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024512141 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2518 ANTHEM VILLAGE DR STE 103 | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890525554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024512141 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2020 | ||||||||
| LastUpdateDate: | 09/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CHRISTENSEN | ||||||||
| AuthorizedOfficialFirstName: | ALISHA | ||||||||
| AuthorizedOfficialMiddleName: | LYNN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7026013241 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| NPICertificationDate: | 09/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No ID Information.