Provider Demographics
NPI:1033453279
Name:ASCENT PERFORMANCE CONSULTANTA
Entity Type:Organization
Organization Name:ASCENT PERFORMANCE CONSULTANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTISETTA
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-252-2181
Mailing Address - Street 1:2330 SCENIC HWY S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-3115
Mailing Address - Country:US
Mailing Address - Phone:678-252-2181
Mailing Address - Fax:678-252-2183
Practice Address - Street 1:2330 SCENIC HWY S
Practice Address - Street 2:SUITE 301
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3115
Practice Address - Country:US
Practice Address - Phone:678-252-2181
Practice Address - Fax:678-252-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-10
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty